| National Provider Identifier [NPI]: | 1235101551 |
| Last Name Of The Provider | LIGHTMAN |
| First Name Of The Provider | NOAH |
| Middle Initial Of The Provider | I |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 21 CROSSROADS DR |
| Street Address 2 Of The Provider | STE 100 |
| City Of The Provider | OWINGS MILLS |
| Zip Code Of The Provider | 211175441 |
| 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 | 130 |
| Number Of Services | 6491 |
| Number Of Medicare Beneficiaries | 3877 |
| Total Submitted Charge Amount | 1350771 |
| Total Medicare Allowed Amount | 161596.46 |
| Total Medicare Payment Amount | 116374.5 |
| Total Medicare Standardized Payment Amount | 113169 |
| 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 | 130 |
| Number Of Medical Services | 6491 |
| Number Of Medicare Beneficiaries With Medical Services | 3877 |
| Total Medical Submitted Charge Amount | 1350771 |
| Total Medical Medicare Allowed Amount | 161596.46 |
| Total Medical Medicare Payment Amount | 116374.5 |
| Total Medical Medicare Standardized Payment Amount | 113169 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 767 |
| Number Of Beneficiaries Age 65 to 74 | 1156 |
| Number Of Beneficiaries Age 75 to 84 | 1067 |
| Number Of Beneficiaries Age Greater 84 | 887 |
| Number Of Female Beneficiaries | 2437 |
| Number Of Male Beneficiaries | 1440 |
| Number Of Non Hispanic White Beneficiaries | 1537 |
| Number Of Black or African American Beneficiaries | 2231 |
| Number Of AsianPacific Islander Beneficiaries | 41 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2645 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1232 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 30 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.1773 |