| National Provider Identifier [NPI]: | 1538113923 |
| Last Name Of The Provider | OTTE |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8200 E BELLEVIEW AVE |
| Street Address 2 Of The Provider | NO 124 |
| City Of The Provider | GREENWOOD VILLAGE |
| Zip Code Of The Provider | 801112803 |
| State Code Of The Provider | CO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 140 |
| Number Of Services | 6779 |
| Number Of Medicare Beneficiaries | 4861 |
| Total Submitted Charge Amount | 709444.5 |
| Total Medicare Allowed Amount | 203570.79 |
| Total Medicare Payment Amount | 157474.37 |
| Total Medicare Standardized Payment Amount | 157755.61 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 462 |
| Number Of Medicare Beneficiaries With Drug Services | 22 |
| Total Drug Submitted ChargeAmount | 1327 |
| Total Drug Medicare AllowedAmount | 345.66 |
| Total Drug Medicare PaymentAmount | 271.03 |
| Total Drug Medicare Standardized Payment Amount | 271.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 135 |
| Number Of Medical Services | 6317 |
| Number Of Medicare Beneficiaries With Medical Services | 4861 |
| Total Medical Submitted Charge Amount | 708117.5 |
| Total Medical Medicare Allowed Amount | 203225.13 |
| Total Medical Medicare Payment Amount | 157203.34 |
| Total Medical Medicare Standardized Payment Amount | 157484.58 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 701 |
| Number Of Beneficiaries Age 65 to 74 | 1946 |
| Number Of Beneficiaries Age 75 to 84 | 1403 |
| Number Of Beneficiaries Age Greater 84 | 811 |
| Number Of Female Beneficiaries | 3079 |
| Number Of Male Beneficiaries | 1782 |
| Number Of Non Hispanic White Beneficiaries | 4239 |
| Number Of Black or African American Beneficiaries | 160 |
| Number Of AsianPacific Islander Beneficiaries | 72 |
| Number Of Hispanic Beneficiaries | 285 |
| Number Of American Indian Alaska Native Beneficiaries | 28 |
| Number Of Beneficiaries With Race Not Else where Classified | 77 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3992 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 869 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4288 |