| National Provider Identifier [NPI]: | 1801809173 |
| Last Name Of The Provider | SCOTTI |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2201 CHAPEL AVE W |
| Street Address 2 Of The Provider | ATTN: RADIOLOGY DEPARTMENT |
| City Of The Provider | CHERRY HILL |
| Zip Code Of The Provider | 080022048 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 224 |
| Number Of Services | 9503 |
| Number Of Medicare Beneficiaries | 4688 |
| Total Submitted Charge Amount | 844895 |
| Total Medicare Allowed Amount | 220455.77 |
| Total Medicare Payment Amount | 170270.21 |
| Total Medicare Standardized Payment Amount | 164076.02 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 224 |
| Number Of Medical Services | 9503 |
| Number Of Medicare Beneficiaries With Medical Services | 4688 |
| Total Medical Submitted Charge Amount | 844895 |
| Total Medical Medicare Allowed Amount | 220455.77 |
| Total Medical Medicare Payment Amount | 170270.21 |
| Total Medical Medicare Standardized Payment Amount | 164076.02 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1051 |
| Number Of Beneficiaries Age 65 to 74 | 1267 |
| Number Of Beneficiaries Age 75 to 84 | 1213 |
| Number Of Beneficiaries Age Greater 84 | 1157 |
| Number Of Female Beneficiaries | 2788 |
| Number Of Male Beneficiaries | 1900 |
| Number Of Non Hispanic White Beneficiaries | 3596 |
| Number Of Black or African American Beneficiaries | 715 |
| Number Of AsianPacific Islander Beneficiaries | 109 |
| Number Of Hispanic Beneficiaries | 216 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 52 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3162 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1526 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 32 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 2.1845 |