| National Provider Identifier [NPI]: | 1659413805 |
| Last Name Of The Provider | HYNES |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 65 COOPER SQ |
| Street Address 2 Of The Provider | APT 2B |
| City Of The Provider | NEW YORK |
| Zip Code Of The Provider | 100037116 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 123 |
| Number Of Services | 8565 |
| Number Of Medicare Beneficiaries | 4962 |
| Total Submitted Charge Amount | 807913 |
| Total Medicare Allowed Amount | 245002.95 |
| Total Medicare Payment Amount | 182992.01 |
| Total Medicare Standardized Payment Amount | 180366.02 |
| 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 | 123 |
| Number Of Medical Services | 8565 |
| Number Of Medicare Beneficiaries With Medical Services | 4962 |
| Total Medical Submitted Charge Amount | 807913 |
| Total Medical Medicare Allowed Amount | 245002.95 |
| Total Medical Medicare Payment Amount | 182992.01 |
| Total Medical Medicare Standardized Payment Amount | 180366.02 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1204 |
| Number Of Beneficiaries Age 65 to 74 | 1457 |
| Number Of Beneficiaries Age 75 to 84 | 1320 |
| Number Of Beneficiaries Age Greater 84 | 981 |
| Number Of Female Beneficiaries | 2900 |
| Number Of Male Beneficiaries | 2062 |
| Number Of Non Hispanic White Beneficiaries | 3766 |
| Number Of Black or African American Beneficiaries | 637 |
| Number Of AsianPacific Islander Beneficiaries | 41 |
| Number Of Hispanic Beneficiaries | 464 |
| Number Of American Indian Alaska Native Beneficiaries | 15 |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2922 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2040 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 39 |
| Percent Of With Depression | 43 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.1143 |