| National Provider Identifier [NPI]: | 1023055720 |
| Last Name Of The Provider | MALI |
| First Name Of The Provider | MRINAL |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 575 BEECH ST |
| Street Address 2 Of The Provider | HOLYOKE MEDICAL CENTER |
| City Of The Provider | HOLYOKE |
| Zip Code Of The Provider | 01040 |
| 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 | 212 |
| Number Of Services | 22296 |
| Number Of Medicare Beneficiaries | 3731 |
| Total Submitted Charge Amount | 1452784 |
| Total Medicare Allowed Amount | 301713.62 |
| Total Medicare Payment Amount | 225863.18 |
| Total Medicare Standardized Payment Amount | 219739.54 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 16389 |
| Number Of Medicare Beneficiaries With Drug Services | 187 |
| Total Drug Submitted ChargeAmount | 53571 |
| Total Drug Medicare AllowedAmount | 3707.02 |
| Total Drug Medicare PaymentAmount | 2906.09 |
| Total Drug Medicare Standardized Payment Amount | 2906.09 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 209 |
| Number Of Medical Services | 5907 |
| Number Of Medicare Beneficiaries With Medical Services | 3731 |
| Total Medical Submitted Charge Amount | 1399213 |
| Total Medical Medicare Allowed Amount | 298006.6 |
| Total Medical Medicare Payment Amount | 222957.09 |
| Total Medical Medicare Standardized Payment Amount | 216833.45 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 704 |
| Number Of Beneficiaries Age 65 to 74 | 1175 |
| Number Of Beneficiaries Age 75 to 84 | 1096 |
| Number Of Beneficiaries Age Greater 84 | 756 |
| Number Of Female Beneficiaries | 2217 |
| Number Of Male Beneficiaries | 1514 |
| Number Of Non Hispanic White Beneficiaries | 3208 |
| Number Of Black or African American Beneficiaries | 79 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 370 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 44 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2367 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1364 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5555 |