| National Provider Identifier [NPI]: | 1164486890 |
| Last Name Of The Provider | BROWN |
| First Name Of The Provider | STEPHEN |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 335 E HOUGHTON AVENUE |
| Street Address 2 Of The Provider | 2463 S M-30 |
| City Of The Provider | WEST BRANCH |
| Zip Code Of The Provider | 48661 |
| 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 | 169 |
| Number Of Services | 7662 |
| Number Of Medicare Beneficiaries | 4830 |
| Total Submitted Charge Amount | 533521.5 |
| Total Medicare Allowed Amount | 202201.53 |
| Total Medicare Payment Amount | 143171.66 |
| Total Medicare Standardized Payment Amount | 147185.54 |
| 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 | 169 |
| Number Of Medical Services | 7662 |
| Number Of Medicare Beneficiaries With Medical Services | 4830 |
| Total Medical Submitted Charge Amount | 533521.5 |
| Total Medical Medicare Allowed Amount | 202201.53 |
| Total Medical Medicare Payment Amount | 143171.66 |
| Total Medical Medicare Standardized Payment Amount | 147185.54 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1089 |
| Number Of Beneficiaries Age 65 to 74 | 1696 |
| Number Of Beneficiaries Age 75 to 84 | 1367 |
| Number Of Beneficiaries Age Greater 84 | 678 |
| Number Of Female Beneficiaries | 2748 |
| Number Of Male Beneficiaries | 2082 |
| Number Of Non Hispanic White Beneficiaries | 4458 |
| Number Of Black or African American Beneficiaries | 237 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 59 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 48 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3494 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1336 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.6214 |