| National Provider Identifier [NPI]: | 1912957796 |
| Last Name Of The Provider | FADELL |
| First Name Of The Provider | RONALD |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3535 SOUTHERN BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | KETTERING |
| Zip Code Of The Provider | 454291221 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 216 |
| Number Of Services | 25947 |
| Number Of Medicare Beneficiaries | 9973 |
| Total Submitted Charge Amount | 2715096 |
| Total Medicare Allowed Amount | 679291.35 |
| Total Medicare Payment Amount | 525733.54 |
| Total Medicare Standardized Payment Amount | 543376.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 4950 |
| Number Of Medicare Beneficiaries With Drug Services | 46 |
| Total Drug Submitted ChargeAmount | 1386 |
| Total Drug Medicare AllowedAmount | 924.75 |
| Total Drug Medicare PaymentAmount | 704.13 |
| Total Drug Medicare Standardized Payment Amount | 704.13 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 215 |
| Number Of Medical Services | 20997 |
| Number Of Medicare Beneficiaries With Medical Services | 9973 |
| Total Medical Submitted Charge Amount | 2713710 |
| Total Medical Medicare Allowed Amount | 678366.6 |
| Total Medical Medicare Payment Amount | 525029.41 |
| Total Medical Medicare Standardized Payment Amount | 542672.15 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 2254 |
| Number Of Beneficiaries Age 65 to 74 | 3289 |
| Number Of Beneficiaries Age 75 to 84 | 2683 |
| Number Of Beneficiaries Age Greater 84 | 1747 |
| Number Of Female Beneficiaries | 6081 |
| Number Of Male Beneficiaries | 3892 |
| Number Of Non Hispanic White Beneficiaries | 8937 |
| Number Of Black or African American Beneficiaries | 759 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 78 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 131 |
| Number Of Beneficiaries With Medicare Only Entitlement | 7176 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2797 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6962 |