| National Provider Identifier [NPI]: | 1013943026 |
| Last Name Of The Provider | EISENBERG |
| First Name Of The Provider | RONALD |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 330 BROOKLINE AVE |
| Street Address 2 Of The Provider | ECC4 BIDMC-DEPT. OF RADIOLOGY |
| City Of The Provider | BOSTON |
| Zip Code Of The Provider | 02215 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 71 |
| Number Of Services | 8462 |
| Number Of Medicare Beneficiaries | 5328 |
| Total Submitted Charge Amount | 334090 |
| Total Medicare Allowed Amount | 112481.6 |
| Total Medicare Payment Amount | 82696.44 |
| Total Medicare Standardized Payment Amount | 78820.63 |
| 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 | 71 |
| Number Of Medical Services | 8462 |
| Number Of Medicare Beneficiaries With Medical Services | 5328 |
| Total Medical Submitted Charge Amount | 334090 |
| Total Medical Medicare Allowed Amount | 112481.6 |
| Total Medical Medicare Payment Amount | 82696.44 |
| Total Medical Medicare Standardized Payment Amount | 78820.63 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1007 |
| Number Of Beneficiaries Age 65 to 74 | 2056 |
| Number Of Beneficiaries Age 75 to 84 | 1508 |
| Number Of Beneficiaries Age Greater 84 | 757 |
| Number Of Female Beneficiaries | 3133 |
| Number Of Male Beneficiaries | 2195 |
| Number Of Non Hispanic White Beneficiaries | 4298 |
| Number Of Black or African American Beneficiaries | 470 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 250 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 176 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3619 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1709 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.6897 |