| National Provider Identifier [NPI]: | 1528040607 |
| Last Name Of The Provider | MALING |
| 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 | 88 WASHINGTON ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | TAUNTON |
| Zip Code Of The Provider | 027802465 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 185 |
| Number Of Services | 11177 |
| Number Of Medicare Beneficiaries | 5036 |
| Total Submitted Charge Amount | 1044150 |
| Total Medicare Allowed Amount | 321503.21 |
| Total Medicare Payment Amount | 254772.88 |
| Total Medicare Standardized Payment Amount | 253785.33 |
| 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 | 185 |
| Number Of Medical Services | 11177 |
| Number Of Medicare Beneficiaries With Medical Services | 5036 |
| Total Medical Submitted Charge Amount | 1044150 |
| Total Medical Medicare Allowed Amount | 321503.21 |
| Total Medical Medicare Payment Amount | 254772.88 |
| Total Medical Medicare Standardized Payment Amount | 253785.33 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1200 |
| Number Of Beneficiaries Age 65 to 74 | 1752 |
| Number Of Beneficiaries Age 75 to 84 | 1278 |
| Number Of Beneficiaries Age Greater 84 | 806 |
| Number Of Female Beneficiaries | 3195 |
| Number Of Male Beneficiaries | 1841 |
| Number Of Non Hispanic White Beneficiaries | 4531 |
| Number Of Black or African American Beneficiaries | 102 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 305 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 76 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3197 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1839 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4103 |