| National Provider Identifier [NPI]: | 1760471700 |
| Last Name Of The Provider | KUO |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3501 N SCOTTSDALE RD |
| Street Address 2 Of The Provider | STE 130 |
| City Of The Provider | SCOTTSDALE |
| Zip Code Of The Provider | 852515648 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 149 |
| Number Of Services | 98316 |
| Number Of Medicare Beneficiaries | 3356 |
| Total Submitted Charge Amount | 3136967.8 |
| Total Medicare Allowed Amount | 662152.99 |
| Total Medicare Payment Amount | 490691.07 |
| Total Medicare Standardized Payment Amount | 515513.06 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 92304 |
| Number Of Medicare Beneficiaries With Drug Services | 867 |
| Total Drug Submitted ChargeAmount | 186179.8 |
| Total Drug Medicare AllowedAmount | 19527.97 |
| Total Drug Medicare PaymentAmount | 15238.12 |
| Total Drug Medicare Standardized Payment Amount | 15238.12 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 142 |
| Number Of Medical Services | 6012 |
| Number Of Medicare Beneficiaries With Medical Services | 3356 |
| Total Medical Submitted Charge Amount | 2950788 |
| Total Medical Medicare Allowed Amount | 642625.02 |
| Total Medical Medicare Payment Amount | 475452.95 |
| Total Medical Medicare Standardized Payment Amount | 500274.94 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 189 |
| Number Of Beneficiaries Age 65 to 74 | 1620 |
| Number Of Beneficiaries Age 75 to 84 | 1114 |
| Number Of Beneficiaries Age Greater 84 | 433 |
| Number Of Female Beneficiaries | 1819 |
| Number Of Male Beneficiaries | 1537 |
| Number Of Non Hispanic White Beneficiaries | 3078 |
| Number Of Black or African American Beneficiaries | 57 |
| Number Of AsianPacific Islander Beneficiaries | 33 |
| Number Of Hispanic Beneficiaries | 97 |
| Number Of American Indian Alaska Native Beneficiaries | 33 |
| Number Of Beneficiaries With Race Not Else where Classified | 58 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3166 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 190 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 23 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4284 |