| National Provider Identifier [NPI]: | 1780605253 |
| Last Name Of The Provider | FRIEDMAN |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 66 MAPLE AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | MORRISTOWN |
| Zip Code Of The Provider | 079605250 |
| 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 | 120 |
| Number Of Services | 6505 |
| Number Of Medicare Beneficiaries | 3111 |
| Total Submitted Charge Amount | 707332.7 |
| Total Medicare Allowed Amount | 177310.9 |
| Total Medicare Payment Amount | 135986.15 |
| Total Medicare Standardized Payment Amount | 126728.3 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 666 |
| Number Of Medicare Beneficiaries With Drug Services | 22 |
| Total Drug Submitted ChargeAmount | 1680.7 |
| Total Drug Medicare AllowedAmount | 1128 |
| Total Drug Medicare PaymentAmount | 884.28 |
| Total Drug Medicare Standardized Payment Amount | 884.28 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 118 |
| Number Of Medical Services | 5839 |
| Number Of Medicare Beneficiaries With Medical Services | 3111 |
| Total Medical Submitted Charge Amount | 705652 |
| Total Medical Medicare Allowed Amount | 176182.9 |
| Total Medical Medicare Payment Amount | 135101.87 |
| Total Medical Medicare Standardized Payment Amount | 125844.02 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 282 |
| Number Of Beneficiaries Age 65 to 74 | 1233 |
| Number Of Beneficiaries Age 75 to 84 | 1011 |
| Number Of Beneficiaries Age Greater 84 | 585 |
| Number Of Female Beneficiaries | 2089 |
| Number Of Male Beneficiaries | 1022 |
| Number Of Non Hispanic White Beneficiaries | 2754 |
| Number Of Black or African American Beneficiaries | 156 |
| Number Of AsianPacific Islander Beneficiaries | 61 |
| Number Of Hispanic Beneficiaries | 99 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2751 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 360 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 24 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6958 |