| National Provider Identifier [NPI]: | 1447252184 |
| Last Name Of The Provider | DOBBEN |
| First Name Of The Provider | RICHARD |
| 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 | 301 W HOMER ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | MICHIGAN CITY |
| Zip Code Of The Provider | 463604358 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 301 |
| Number Of Services | 7636 |
| Number Of Medicare Beneficiaries | 4312 |
| Total Submitted Charge Amount | 1486876 |
| Total Medicare Allowed Amount | 219747.21 |
| Total Medicare Payment Amount | 171586.23 |
| Total Medicare Standardized Payment Amount | 179687.69 |
| 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 | 301 |
| Number Of Medical Services | 7636 |
| Number Of Medicare Beneficiaries With Medical Services | 4312 |
| Total Medical Submitted Charge Amount | 1486876 |
| Total Medical Medicare Allowed Amount | 219747.21 |
| Total Medical Medicare Payment Amount | 171586.23 |
| Total Medical Medicare Standardized Payment Amount | 179687.69 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 793 |
| Number Of Beneficiaries Age 65 to 74 | 1619 |
| Number Of Beneficiaries Age 75 to 84 | 1271 |
| Number Of Beneficiaries Age Greater 84 | 629 |
| Number Of Female Beneficiaries | 2798 |
| Number Of Male Beneficiaries | 1514 |
| Number Of Non Hispanic White Beneficiaries | 3490 |
| Number Of Black or African American Beneficiaries | 619 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 140 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3266 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1046 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7054 |