| National Provider Identifier [NPI]: | 1558329706 |
| Last Name Of The Provider | VENS |
| First Name Of The Provider | ERIC |
| 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 | 11209 N TATUM BLVD |
| Street Address 2 Of The Provider | SUITE 110 |
| City Of The Provider | PHOENIX |
| Zip Code Of The Provider | 850283091 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 222 |
| Number Of Services | 19448 |
| Number Of Medicare Beneficiaries | 3423 |
| Total Submitted Charge Amount | 908552.75 |
| Total Medicare Allowed Amount | 359353.46 |
| Total Medicare Payment Amount | 274487.05 |
| Total Medicare Standardized Payment Amount | 273627.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 13103 |
| Number Of Medicare Beneficiaries With Drug Services | 158 |
| Total Drug Submitted ChargeAmount | 13615.75 |
| Total Drug Medicare AllowedAmount | 3411.5 |
| Total Drug Medicare PaymentAmount | 2625.2 |
| Total Drug Medicare Standardized Payment Amount | 2625.2 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 220 |
| Number Of Medical Services | 6345 |
| Number Of Medicare Beneficiaries With Medical Services | 3423 |
| Total Medical Submitted Charge Amount | 894937 |
| Total Medical Medicare Allowed Amount | 355941.96 |
| Total Medical Medicare Payment Amount | 271861.85 |
| Total Medical Medicare Standardized Payment Amount | 271002.05 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 693 |
| Number Of Beneficiaries Age 65 to 74 | 1207 |
| Number Of Beneficiaries Age 75 to 84 | 918 |
| Number Of Beneficiaries Age Greater 84 | 605 |
| Number Of Female Beneficiaries | 2044 |
| Number Of Male Beneficiaries | 1379 |
| Number Of Non Hispanic White Beneficiaries | 3194 |
| Number Of Black or African American Beneficiaries | 156 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 29 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2530 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 893 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 18 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7501 |