| National Provider Identifier [NPI]: | 1861481806 |
| Last Name Of The Provider | NEWBOLD |
| First Name Of The Provider | RONALD |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3501 N SCOTTSDALE RD |
| Street Address 2 Of The Provider | SUITE 130 |
| City Of The Provider | SCOTTSDALE |
| Zip Code Of The Provider | 852515648 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 300 |
| Number Of Services | 29619 |
| Number Of Medicare Beneficiaries | 4483 |
| Total Submitted Charge Amount | 2400404.6 |
| Total Medicare Allowed Amount | 739601.22 |
| Total Medicare Payment Amount | 557782.2 |
| Total Medicare Standardized Payment Amount | 569178.58 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 21557 |
| Number Of Medicare Beneficiaries With Drug Services | 467 |
| Total Drug Submitted ChargeAmount | 158320.6 |
| Total Drug Medicare AllowedAmount | 54696.37 |
| Total Drug Medicare PaymentAmount | 42705.98 |
| Total Drug Medicare Standardized Payment Amount | 42705.98 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 291 |
| Number Of Medical Services | 8062 |
| Number Of Medicare Beneficiaries With Medical Services | 4483 |
| Total Medical Submitted Charge Amount | 2242084 |
| Total Medical Medicare Allowed Amount | 684904.85 |
| Total Medical Medicare Payment Amount | 515076.22 |
| Total Medical Medicare Standardized Payment Amount | 526472.6 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 255 |
| Number Of Beneficiaries Age 65 to 74 | 2117 |
| Number Of Beneficiaries Age 75 to 84 | 1433 |
| Number Of Beneficiaries Age Greater 84 | 678 |
| Number Of Female Beneficiaries | 2495 |
| Number Of Male Beneficiaries | 1988 |
| Number Of Non Hispanic White Beneficiaries | 4151 |
| Number Of Black or African American Beneficiaries | 62 |
| Number Of AsianPacific Islander Beneficiaries | 57 |
| Number Of Hispanic Beneficiaries | 109 |
| Number Of American Indian Alaska Native Beneficiaries | 34 |
| Number Of Beneficiaries With Race Not Else where Classified | 70 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4245 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 238 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 24 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2888 |