| National Provider Identifier [NPI]: | 1356312201 |
| Last Name Of The Provider | BERRY |
| First Name Of The Provider | RENU |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 20410 OBSERVATION DR |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | GERMANTOWN |
| Zip Code Of The Provider | 208764000 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 164 |
| Number Of Services | 24636 |
| Number Of Medicare Beneficiaries | 2809 |
| Total Submitted Charge Amount | 1348147.45 |
| Total Medicare Allowed Amount | 434779.94 |
| Total Medicare Payment Amount | 338309.54 |
| Total Medicare Standardized Payment Amount | 301485.29 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 20256 |
| Number Of Medicare Beneficiaries With Drug Services | 259 |
| Total Drug Submitted ChargeAmount | 27254.55 |
| Total Drug Medicare AllowedAmount | 6815.04 |
| Total Drug Medicare PaymentAmount | 5329.38 |
| Total Drug Medicare Standardized Payment Amount | 5329.38 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 162 |
| Number Of Medical Services | 4380 |
| Number Of Medicare Beneficiaries With Medical Services | 2809 |
| Total Medical Submitted Charge Amount | 1320892.9 |
| Total Medical Medicare Allowed Amount | 427964.9 |
| Total Medical Medicare Payment Amount | 332980.16 |
| Total Medical Medicare Standardized Payment Amount | 296155.91 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 322 |
| Number Of Beneficiaries Age 65 to 74 | 1069 |
| Number Of Beneficiaries Age 75 to 84 | 885 |
| Number Of Beneficiaries Age Greater 84 | 533 |
| Number Of Female Beneficiaries | 1753 |
| Number Of Male Beneficiaries | 1056 |
| Number Of Non Hispanic White Beneficiaries | 1677 |
| Number Of Black or African American Beneficiaries | 393 |
| Number Of AsianPacific Islander Beneficiaries | 450 |
| Number Of Hispanic Beneficiaries | 204 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1921 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 888 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.5619 |