| National Provider Identifier [NPI]: | 1083604797 |
| Last Name Of The Provider | RADECKI |
| First Name Of The Provider | PAUL |
| 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 | 1145 19TH ST NW |
| Street Address 2 Of The Provider | SUITE 205 |
| City Of The Provider | WASHINGTON |
| Zip Code Of The Provider | 200363701 |
| State Code Of The Provider | DC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 187 |
| Number Of Services | 17266 |
| Number Of Medicare Beneficiaries | 3484 |
| Total Submitted Charge Amount | 1491076.5 |
| Total Medicare Allowed Amount | 422637.44 |
| Total Medicare Payment Amount | 324898.45 |
| Total Medicare Standardized Payment Amount | 292970.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 11548 |
| Number Of Medicare Beneficiaries With Drug Services | 149 |
| Total Drug Submitted ChargeAmount | 15453.5 |
| Total Drug Medicare AllowedAmount | 4076.68 |
| Total Drug Medicare PaymentAmount | 3172.34 |
| Total Drug Medicare Standardized Payment Amount | 3172.34 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 182 |
| Number Of Medical Services | 5718 |
| Number Of Medicare Beneficiaries With Medical Services | 3484 |
| Total Medical Submitted Charge Amount | 1475623 |
| Total Medical Medicare Allowed Amount | 418560.76 |
| Total Medical Medicare Payment Amount | 321726.11 |
| Total Medical Medicare Standardized Payment Amount | 289798.41 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 193 |
| Number Of Beneficiaries Age 65 to 74 | 1155 |
| Number Of Beneficiaries Age 75 to 84 | 1167 |
| Number Of Beneficiaries Age Greater 84 | 969 |
| Number Of Female Beneficiaries | 2114 |
| Number Of Male Beneficiaries | 1370 |
| Number Of Non Hispanic White Beneficiaries | 2594 |
| Number Of Black or African American Beneficiaries | 451 |
| Number Of AsianPacific Islander Beneficiaries | 183 |
| Number Of Hispanic Beneficiaries | 158 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3021 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 463 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 14 |
| 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 | 1.4549 |