| National Provider Identifier [NPI]: | 1275565640 |
| Last Name Of The Provider | MALIN |
| First Name Of The Provider | MICHAEL |
| 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 | 385 MAIN ST S |
| Street Address 2 Of The Provider | UNION SQUARE |
| City Of The Provider | SOUTHBURY |
| Zip Code Of The Provider | 064884240 |
| State Code Of The Provider | CT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 159 |
| Number Of Services | 7254 |
| Number Of Medicare Beneficiaries | 3410 |
| Total Submitted Charge Amount | 744403 |
| Total Medicare Allowed Amount | 191236.04 |
| Total Medicare Payment Amount | 142699.8 |
| Total Medicare Standardized Payment Amount | 134207.01 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 445 |
| Number Of Medicare Beneficiaries With Drug Services | 19 |
| Total Drug Submitted ChargeAmount | 4685 |
| Total Drug Medicare AllowedAmount | 2728.66 |
| Total Drug Medicare PaymentAmount | 1889.53 |
| Total Drug Medicare Standardized Payment Amount | 1889.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 157 |
| Number Of Medical Services | 6809 |
| Number Of Medicare Beneficiaries With Medical Services | 3410 |
| Total Medical Submitted Charge Amount | 739718 |
| Total Medical Medicare Allowed Amount | 188507.38 |
| Total Medical Medicare Payment Amount | 140810.27 |
| Total Medical Medicare Standardized Payment Amount | 132317.48 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 780 |
| Number Of Beneficiaries Age 65 to 74 | 965 |
| Number Of Beneficiaries Age 75 to 84 | 961 |
| Number Of Beneficiaries Age Greater 84 | 704 |
| Number Of Female Beneficiaries | 2169 |
| Number Of Male Beneficiaries | 1241 |
| Number Of Non Hispanic White Beneficiaries | 2538 |
| Number Of Black or African American Beneficiaries | 335 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 460 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1650 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1760 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7397 |