| National Provider Identifier [NPI]: | 1487676060 |
| Last Name Of The Provider | ZUCKER |
| First Name Of The Provider | RYAN |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2121 MEDICAL PARK DRIVE |
| Street Address 2 Of The Provider | SUITE 3 |
| City Of The Provider | SILVER SPRING |
| Zip Code Of The Provider | 20902 |
| 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 | 167 |
| Number Of Services | 11284 |
| Number Of Medicare Beneficiaries | 4243 |
| Total Submitted Charge Amount | 1095898 |
| Total Medicare Allowed Amount | 328026.8 |
| Total Medicare Payment Amount | 248409.58 |
| Total Medicare Standardized Payment Amount | 226450.13 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 3146 |
| Number Of Medicare Beneficiaries With Drug Services | 43 |
| Total Drug Submitted ChargeAmount | 3811 |
| Total Drug Medicare AllowedAmount | 912.91 |
| Total Drug Medicare PaymentAmount | 668.21 |
| Total Drug Medicare Standardized Payment Amount | 668.21 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 165 |
| Number Of Medical Services | 8138 |
| Number Of Medicare Beneficiaries With Medical Services | 4243 |
| Total Medical Submitted Charge Amount | 1092087 |
| Total Medical Medicare Allowed Amount | 327113.89 |
| Total Medical Medicare Payment Amount | 247741.37 |
| Total Medical Medicare Standardized Payment Amount | 225781.92 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 513 |
| Number Of Beneficiaries Age 65 to 74 | 1362 |
| Number Of Beneficiaries Age 75 to 84 | 1281 |
| Number Of Beneficiaries Age Greater 84 | 1087 |
| Number Of Female Beneficiaries | 2627 |
| Number Of Male Beneficiaries | 1616 |
| Number Of Non Hispanic White Beneficiaries | 2119 |
| Number Of Black or African American Beneficiaries | 1482 |
| Number Of AsianPacific Islander Beneficiaries | 256 |
| Number Of Hispanic Beneficiaries | 295 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3175 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1068 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 1.8911 |