| National Provider Identifier [NPI]: | 1376705665 |
| Last Name Of The Provider | HORKINS |
| First Name Of The Provider | TODD |
| 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 | 2799 W GRAND BLVD |
| Street Address 2 Of The Provider | DEPARTMENT OF DIAGNOSTIC RADIOLOGY A-3 |
| City Of The Provider | DETROIT |
| Zip Code Of The Provider | 482022608 |
| 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 | 212 |
| Number Of Services | 9202 |
| Number Of Medicare Beneficiaries | 4746 |
| Total Submitted Charge Amount | 737570.5 |
| Total Medicare Allowed Amount | 275597.26 |
| Total Medicare Payment Amount | 206836.62 |
| Total Medicare Standardized Payment Amount | 199501.17 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 810 |
| Number Of Medicare Beneficiaries With Drug Services | 14 |
| Total Drug Submitted ChargeAmount | 3042.5 |
| Total Drug Medicare AllowedAmount | 292.97 |
| Total Drug Medicare PaymentAmount | 226.26 |
| Total Drug Medicare Standardized Payment Amount | 226.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 210 |
| Number Of Medical Services | 8392 |
| Number Of Medicare Beneficiaries With Medical Services | 4746 |
| Total Medical Submitted Charge Amount | 734528 |
| Total Medical Medicare Allowed Amount | 275304.29 |
| Total Medical Medicare Payment Amount | 206610.36 |
| Total Medical Medicare Standardized Payment Amount | 199274.91 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 538 |
| Number Of Beneficiaries Age 65 to 74 | 1436 |
| Number Of Beneficiaries Age 75 to 84 | 1637 |
| Number Of Beneficiaries Age Greater 84 | 1135 |
| Number Of Female Beneficiaries | 2625 |
| Number Of Male Beneficiaries | 2121 |
| Number Of Non Hispanic White Beneficiaries | 4255 |
| Number Of Black or African American Beneficiaries | 240 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 176 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4025 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 721 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.7704 |