| National Provider Identifier [NPI]: | 1477593317 |
| Last Name Of The Provider | MALNOFSKI |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2598 W WHITE RIVER BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | MUNCIE |
| Zip Code Of The Provider | 473035251 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 179 |
| Number Of Services | 28053 |
| Number Of Medicare Beneficiaries | 3870 |
| Total Submitted Charge Amount | 1190896.44 |
| Total Medicare Allowed Amount | 308799.7 |
| Total Medicare Payment Amount | 225489.72 |
| Total Medicare Standardized Payment Amount | 244451.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 20194 |
| Number Of Medicare Beneficiaries With Drug Services | 244 |
| Total Drug Submitted ChargeAmount | 21513.44 |
| Total Drug Medicare AllowedAmount | 5387.8 |
| Total Drug Medicare PaymentAmount | 4159.88 |
| Total Drug Medicare Standardized Payment Amount | 4159.88 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 176 |
| Number Of Medical Services | 7859 |
| Number Of Medicare Beneficiaries With Medical Services | 3870 |
| Total Medical Submitted Charge Amount | 1169383 |
| Total Medical Medicare Allowed Amount | 303411.9 |
| Total Medical Medicare Payment Amount | 221329.84 |
| Total Medical Medicare Standardized Payment Amount | 240291.74 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 777 |
| Number Of Beneficiaries Age 65 to 74 | 1421 |
| Number Of Beneficiaries Age 75 to 84 | 1131 |
| Number Of Beneficiaries Age Greater 84 | 541 |
| Number Of Female Beneficiaries | 2366 |
| Number Of Male Beneficiaries | 1504 |
| Number Of Non Hispanic White Beneficiaries | 3749 |
| Number Of Black or African American Beneficiaries | 62 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| Number Of Hispanic Beneficiaries | 20 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2971 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 899 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.268 |