| National Provider Identifier [NPI]: | 1528094398 |
| Last Name Of The Provider | AXELBAUM |
| First Name Of The Provider | STEWART |
| 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 | 7253 AMBASSADOR RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212442710 |
| 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 | 145 |
| Number Of Services | 32987 |
| Number Of Medicare Beneficiaries | 4517 |
| Total Submitted Charge Amount | 1432552.11 |
| Total Medicare Allowed Amount | 421688.69 |
| Total Medicare Payment Amount | 312815.23 |
| Total Medicare Standardized Payment Amount | 299111.46 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 26461 |
| Number Of Medicare Beneficiaries With Drug Services | 253 |
| Total Drug Submitted ChargeAmount | 6210.8 |
| Total Drug Medicare AllowedAmount | 4723.69 |
| Total Drug Medicare PaymentAmount | 3456.4 |
| Total Drug Medicare Standardized Payment Amount | 3456.4 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 144 |
| Number Of Medical Services | 6526 |
| Number Of Medicare Beneficiaries With Medical Services | 4517 |
| Total Medical Submitted Charge Amount | 1426341.31 |
| Total Medical Medicare Allowed Amount | 416965 |
| Total Medical Medicare Payment Amount | 309358.83 |
| Total Medical Medicare Standardized Payment Amount | 295655.06 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 725 |
| Number Of Beneficiaries Age 65 to 74 | 1765 |
| Number Of Beneficiaries Age 75 to 84 | 1343 |
| Number Of Beneficiaries Age Greater 84 | 684 |
| Number Of Female Beneficiaries | 2796 |
| Number Of Male Beneficiaries | 1721 |
| Number Of Non Hispanic White Beneficiaries | 3680 |
| Number Of Black or African American Beneficiaries | 631 |
| Number Of AsianPacific Islander Beneficiaries | 103 |
| Number Of Hispanic Beneficiaries | 52 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3768 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 749 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.6262 |