| National Provider Identifier [NPI]: | 1154378321 |
| Last Name Of The Provider | CASANO |
| First Name Of The Provider | VITO |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 840 OAKWOOD BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | DEARBORN |
| Zip Code Of The Provider | 481242319 |
| 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 | 179 |
| Number Of Services | 7791 |
| Number Of Medicare Beneficiaries | 4721 |
| Total Submitted Charge Amount | 553297 |
| Total Medicare Allowed Amount | 212102.23 |
| Total Medicare Payment Amount | 171987.22 |
| Total Medicare Standardized Payment Amount | 169482.62 |
| Drug Suppress Indicator | * |
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| Medical SuppressIndicator | # |
| Number Of HCPCS Associated With MedicalServices | |
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| Number Of Medicare Beneficiaries With Medical Services | |
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| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1112 |
| Number Of Beneficiaries Age 65 to 74 | 1634 |
| Number Of Beneficiaries Age 75 to 84 | 1175 |
| Number Of Beneficiaries Age Greater 84 | 800 |
| Number Of Female Beneficiaries | 3335 |
| Number Of Male Beneficiaries | 1386 |
| Number Of Non Hispanic White Beneficiaries | 3698 |
| Number Of Black or African American Beneficiaries | 723 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 177 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 71 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3250 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1471 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 40 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.9956 |