| National Provider Identifier [NPI]: | 1265454003 |
| Last Name Of The Provider | HANDRICH |
| First Name Of The Provider | STEPHEN |
| 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 | 6150 WEST LAYTON AVENUE |
| Street Address 2 Of The Provider | |
| City Of The Provider | GREENFIELD |
| Zip Code Of The Provider | 53220 |
| State Code Of The Provider | WI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 190 |
| Number Of Services | 6567 |
| Number Of Medicare Beneficiaries | 4893 |
| Total Submitted Charge Amount | 1071038 |
| Total Medicare Allowed Amount | 169154.07 |
| Total Medicare Payment Amount | 127974.77 |
| Total Medicare Standardized Payment Amount | 133603.36 |
| 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 | 190 |
| Number Of Medical Services | 6567 |
| Number Of Medicare Beneficiaries With Medical Services | 4893 |
| Total Medical Submitted Charge Amount | 1071038 |
| Total Medical Medicare Allowed Amount | 169154.07 |
| Total Medical Medicare Payment Amount | 127974.77 |
| Total Medical Medicare Standardized Payment Amount | 133603.36 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 963 |
| Number Of Beneficiaries Age 65 to 74 | 1654 |
| Number Of Beneficiaries Age 75 to 84 | 1401 |
| Number Of Beneficiaries Age Greater 84 | 875 |
| Number Of Female Beneficiaries | 3039 |
| Number Of Male Beneficiaries | 1854 |
| Number Of Non Hispanic White Beneficiaries | 4024 |
| Number Of Black or African American Beneficiaries | 533 |
| Number Of AsianPacific Islander Beneficiaries | 42 |
| Number Of Hispanic Beneficiaries | 225 |
| Number Of American Indian Alaska Native Beneficiaries | 18 |
| Number Of Beneficiaries With Race Not Else where Classified | 51 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3565 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1328 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.8816 |