| National Provider Identifier [NPI]: | 1194751198 |
| Last Name Of The Provider | SCHAEFER |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 67 THOMAS JOHNSON DR |
| Street Address 2 Of The Provider | SUITE 4 |
| City Of The Provider | FREDERICK |
| Zip Code Of The Provider | 217024863 |
| 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 | 187 |
| Number Of Services | 27463 |
| Number Of Medicare Beneficiaries | 5317 |
| Total Submitted Charge Amount | 1803807.62 |
| Total Medicare Allowed Amount | 732492.33 |
| Total Medicare Payment Amount | 593900.27 |
| Total Medicare Standardized Payment Amount | 524328.14 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 18889 |
| Number Of Medicare Beneficiaries With Drug Services | 185 |
| Total Drug Submitted ChargeAmount | 5308.06 |
| Total Drug Medicare AllowedAmount | 4071.52 |
| Total Drug Medicare PaymentAmount | 3011 |
| Total Drug Medicare Standardized Payment Amount | 3011 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 184 |
| Number Of Medical Services | 8574 |
| Number Of Medicare Beneficiaries With Medical Services | 5317 |
| Total Medical Submitted Charge Amount | 1798499.56 |
| Total Medical Medicare Allowed Amount | 728420.81 |
| Total Medical Medicare Payment Amount | 590889.27 |
| Total Medical Medicare Standardized Payment Amount | 521317.14 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 572 |
| Number Of Beneficiaries Age 65 to 74 | 2308 |
| Number Of Beneficiaries Age 75 to 84 | 1597 |
| Number Of Beneficiaries Age Greater 84 | 840 |
| Number Of Female Beneficiaries | 3902 |
| Number Of Male Beneficiaries | 1415 |
| Number Of Non Hispanic White Beneficiaries | 3437 |
| Number Of Black or African American Beneficiaries | 1157 |
| Number Of AsianPacific Islander Beneficiaries | 280 |
| Number Of Hispanic Beneficiaries | 318 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4394 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 923 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.1708 |