| National Provider Identifier [NPI]: | 1265492342 |
| Last Name Of The Provider | GESSMAN |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D., PH.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2800 MAIN ST |
| Street Address 2 Of The Provider | SVMC, DEPT OF RADIOLOGY |
| City Of The Provider | BRIDGEPORT |
| Zip Code Of The Provider | 066064201 |
| State Code Of The Provider | CT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 161 |
| Number Of Services | 11669 |
| Number Of Medicare Beneficiaries | 3495 |
| Total Submitted Charge Amount | 1126790.5 |
| Total Medicare Allowed Amount | 276403.77 |
| Total Medicare Payment Amount | 215935.93 |
| Total Medicare Standardized Payment Amount | 211185.55 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6105 |
| Number Of Medicare Beneficiaries With Drug Services | 63 |
| Total Drug Submitted ChargeAmount | 6465.5 |
| Total Drug Medicare AllowedAmount | 1710.69 |
| Total Drug Medicare PaymentAmount | 1341.11 |
| Total Drug Medicare Standardized Payment Amount | 1341.11 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 159 |
| Number Of Medical Services | 5564 |
| Number Of Medicare Beneficiaries With Medical Services | 3495 |
| Total Medical Submitted Charge Amount | 1120325 |
| Total Medical Medicare Allowed Amount | 274693.08 |
| Total Medical Medicare Payment Amount | 214594.82 |
| Total Medical Medicare Standardized Payment Amount | 209844.44 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 712 |
| Number Of Beneficiaries Age 65 to 74 | 1272 |
| Number Of Beneficiaries Age 75 to 84 | 870 |
| Number Of Beneficiaries Age Greater 84 | 641 |
| Number Of Female Beneficiaries | 2355 |
| Number Of Male Beneficiaries | 1140 |
| Number Of Non Hispanic White Beneficiaries | 3253 |
| Number Of Black or African American Beneficiaries | 45 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 108 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 56 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2532 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 963 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4988 |