| National Provider Identifier [NPI]: | 1548279763 |
| Last Name Of The Provider | TOMA |
| First Name Of The Provider | SALWAN |
| 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 | 1900 COLUMBUS AVENUE |
| Street Address 2 Of The Provider | 3175 W PROFESSIONAL DRIVE |
| City Of The Provider | BAY CITY |
| Zip Code Of The Provider | 48706 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 194 |
| Number Of Services | 10119 |
| Number Of Medicare Beneficiaries | 4571 |
| Total Submitted Charge Amount | 806135 |
| Total Medicare Allowed Amount | 317261.28 |
| Total Medicare Payment Amount | 239954.13 |
| Total Medicare Standardized Payment Amount | 248063.99 |
| 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 | 194 |
| Number Of Medical Services | 10119 |
| Number Of Medicare Beneficiaries With Medical Services | 4571 |
| Total Medical Submitted Charge Amount | 806135 |
| Total Medical Medicare Allowed Amount | 317261.28 |
| Total Medical Medicare Payment Amount | 239954.13 |
| Total Medical Medicare Standardized Payment Amount | 248063.99 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1034 |
| Number Of Beneficiaries Age 65 to 74 | 1450 |
| Number Of Beneficiaries Age 75 to 84 | 1281 |
| Number Of Beneficiaries Age Greater 84 | 806 |
| Number Of Female Beneficiaries | 2593 |
| Number Of Male Beneficiaries | 1978 |
| Number Of Non Hispanic White Beneficiaries | 4308 |
| Number Of Black or African American Beneficiaries | 82 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 117 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3208 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1363 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 39 |
| Percent Of With Depression | 41 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 71 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 61 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7335 |