| National Provider Identifier [NPI]: | 1497745194 |
| Last Name Of The Provider | FINE |
| First Name Of The Provider | STEPHEN |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1145 19TH ST NW |
| Street Address 2 Of The Provider | SUITE 205 |
| City Of The Provider | WASHINGTON |
| Zip Code Of The Provider | 200363701 |
| State Code Of The Provider | DC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 177 |
| Number Of Services | 30393 |
| Number Of Medicare Beneficiaries | 3803 |
| Total Submitted Charge Amount | 2056418 |
| Total Medicare Allowed Amount | 560413.44 |
| Total Medicare Payment Amount | 424402.98 |
| Total Medicare Standardized Payment Amount | 384846.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 23901 |
| Number Of Medicare Beneficiaries With Drug Services | 267 |
| Total Drug Submitted ChargeAmount | 29505 |
| Total Drug Medicare AllowedAmount | 7413.44 |
| Total Drug Medicare PaymentAmount | 5740.99 |
| Total Drug Medicare Standardized Payment Amount | 5740.99 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 172 |
| Number Of Medical Services | 6492 |
| Number Of Medicare Beneficiaries With Medical Services | 3802 |
| Total Medical Submitted Charge Amount | 2026913 |
| Total Medical Medicare Allowed Amount | 553000 |
| Total Medical Medicare Payment Amount | 418661.99 |
| Total Medical Medicare Standardized Payment Amount | 379105.39 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 171 |
| Number Of Beneficiaries Age 65 to 74 | 1183 |
| Number Of Beneficiaries Age 75 to 84 | 1385 |
| Number Of Beneficiaries Age Greater 84 | 1064 |
| Number Of Female Beneficiaries | 2287 |
| Number Of Male Beneficiaries | 1516 |
| Number Of Non Hispanic White Beneficiaries | 2952 |
| Number Of Black or African American Beneficiaries | 390 |
| Number Of AsianPacific Islander Beneficiaries | 202 |
| Number Of Hispanic Beneficiaries | 155 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3334 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 469 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.4655 |