| National Provider Identifier [NPI]: | 1366486185 |
| Last Name Of The Provider | GELMAN |
| First Name Of The Provider | RUSSELL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7253 AMBASSADOR RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212442710 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 159 |
| Number Of Services | 40195 |
| Number Of Medicare Beneficiaries | 4757 |
| Total Submitted Charge Amount | 1783174.44 |
| Total Medicare Allowed Amount | 547474.05 |
| Total Medicare Payment Amount | 406289.4 |
| Total Medicare Standardized Payment Amount | 386251.57 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 33756 |
| Number Of Medicare Beneficiaries With Drug Services | 333 |
| Total Drug Submitted ChargeAmount | 7767.66 |
| Total Drug Medicare AllowedAmount | 6140.8 |
| Total Drug Medicare PaymentAmount | 4490.16 |
| Total Drug Medicare Standardized Payment Amount | 4490.16 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 157 |
| Number Of Medical Services | 6439 |
| Number Of Medicare Beneficiaries With Medical Services | 4757 |
| Total Medical Submitted Charge Amount | 1775406.78 |
| Total Medical Medicare Allowed Amount | 541333.25 |
| Total Medical Medicare Payment Amount | 401799.24 |
| Total Medical Medicare Standardized Payment Amount | 381761.41 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 524 |
| Number Of Beneficiaries Age 65 to 74 | 1922 |
| Number Of Beneficiaries Age 75 to 84 | 1480 |
| Number Of Beneficiaries Age Greater 84 | 831 |
| Number Of Female Beneficiaries | 3079 |
| Number Of Male Beneficiaries | 1678 |
| Number Of Non Hispanic White Beneficiaries | 3626 |
| Number Of Black or African American Beneficiaries | 933 |
| Number Of AsianPacific Islander Beneficiaries | 80 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 59 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4127 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 630 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.408 |