| National Provider Identifier [NPI]: | 1255385654 |
| Last Name Of The Provider | SONIN |
| First Name Of The Provider | ANDREW |
| 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 | 8200 E BELLEVIEW AVE |
| Street Address 2 Of The Provider | NO 124 |
| City Of The Provider | GREENWOOD VILLAGE |
| Zip Code Of The Provider | 801112803 |
| State Code Of The Provider | CO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 172 |
| Number Of Services | 6078 |
| Number Of Medicare Beneficiaries | 4458 |
| Total Submitted Charge Amount | 729923 |
| Total Medicare Allowed Amount | 210415.66 |
| Total Medicare Payment Amount | 162072.92 |
| Total Medicare Standardized Payment Amount | 162880.95 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 320 |
| Number Of Medicare Beneficiaries With Drug Services | 37 |
| Total Drug Submitted ChargeAmount | 2379 |
| Total Drug Medicare AllowedAmount | 650.65 |
| Total Drug Medicare PaymentAmount | 510.18 |
| Total Drug Medicare Standardized Payment Amount | 510.18 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 167 |
| Number Of Medical Services | 5758 |
| Number Of Medicare Beneficiaries With Medical Services | 4458 |
| Total Medical Submitted Charge Amount | 727544 |
| Total Medical Medicare Allowed Amount | 209765.01 |
| Total Medical Medicare Payment Amount | 161562.74 |
| Total Medical Medicare Standardized Payment Amount | 162370.77 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 700 |
| Number Of Beneficiaries Age 65 to 74 | 1792 |
| Number Of Beneficiaries Age 75 to 84 | 1213 |
| Number Of Beneficiaries Age Greater 84 | 753 |
| Number Of Female Beneficiaries | 2728 |
| Number Of Male Beneficiaries | 1730 |
| Number Of Non Hispanic White Beneficiaries | 3904 |
| Number Of Black or African American Beneficiaries | 140 |
| Number Of AsianPacific Islander Beneficiaries | 64 |
| Number Of Hispanic Beneficiaries | 258 |
| Number Of American Indian Alaska Native Beneficiaries | 31 |
| Number Of Beneficiaries With Race Not Else where Classified | 61 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3602 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 856 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4671 |