| National Provider Identifier [NPI]: | 1356368369 |
| Last Name Of The Provider | GOLOVOY |
| First Name Of The Provider | ROD |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1961 RIDGEFIELD CT |
| Street Address 2 Of The Provider | |
| City Of The Provider | ROCHESTER HILLS |
| Zip Code Of The Provider | 483064045 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 213 |
| Number Of Services | 9788 |
| Number Of Medicare Beneficiaries | 4539 |
| Total Submitted Charge Amount | 641837 |
| Total Medicare Allowed Amount | 310910.21 |
| Total Medicare Payment Amount | 237544.87 |
| Total Medicare Standardized Payment Amount | 244126.11 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 213 |
| Number Of Medical Services | 9788 |
| Number Of Medicare Beneficiaries With Medical Services | 4539 |
| Total Medical Submitted Charge Amount | 641837 |
| Total Medical Medicare Allowed Amount | 310910.21 |
| Total Medical Medicare Payment Amount | 237544.87 |
| Total Medical Medicare Standardized Payment Amount | 244126.11 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1197 |
| Number Of Beneficiaries Age 65 to 74 | 1405 |
| Number Of Beneficiaries Age 75 to 84 | 1207 |
| Number Of Beneficiaries Age Greater 84 | 730 |
| Number Of Female Beneficiaries | 2607 |
| Number Of Male Beneficiaries | 1932 |
| Number Of Non Hispanic White Beneficiaries | 3335 |
| Number Of Black or African American Beneficiaries | 1075 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 70 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3191 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1348 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 18 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 49 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 40 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 66 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 60 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.2087 |