| National Provider Identifier [NPI]: | 1558342139 |
| Last Name Of The Provider | SPECTOR |
| First Name Of The Provider | MARCELO |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 800 HOWARD AVE |
| Street Address 2 Of The Provider | YALE PHYSICIANS BUILDING |
| City Of The Provider | NEW HAVEN |
| Zip Code Of The Provider | 065191369 |
| State Code Of The Provider | CT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 230 |
| Number Of Services | 14896 |
| Number Of Medicare Beneficiaries | 4790 |
| Total Submitted Charge Amount | 1837756.34 |
| Total Medicare Allowed Amount | 384961.83 |
| Total Medicare Payment Amount | 292119.81 |
| Total Medicare Standardized Payment Amount | 275549.89 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 5594 |
| Number Of Medicare Beneficiaries With Drug Services | 97 |
| Total Drug Submitted ChargeAmount | 6603.34 |
| Total Drug Medicare AllowedAmount | 1752.83 |
| Total Drug Medicare PaymentAmount | 1374.25 |
| Total Drug Medicare Standardized Payment Amount | 1374.25 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 223 |
| Number Of Medical Services | 9302 |
| Number Of Medicare Beneficiaries With Medical Services | 4790 |
| Total Medical Submitted Charge Amount | 1831153 |
| Total Medical Medicare Allowed Amount | 383209 |
| Total Medical Medicare Payment Amount | 290745.56 |
| Total Medical Medicare Standardized Payment Amount | 274175.64 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1168 |
| Number Of Beneficiaries Age 65 to 74 | 1726 |
| Number Of Beneficiaries Age 75 to 84 | 1264 |
| Number Of Beneficiaries Age Greater 84 | 632 |
| Number Of Female Beneficiaries | 2732 |
| Number Of Male Beneficiaries | 2058 |
| Number Of Non Hispanic White Beneficiaries | 2540 |
| Number Of Black or African American Beneficiaries | 954 |
| Number Of AsianPacific Islander Beneficiaries | 232 |
| Number Of Hispanic Beneficiaries | 960 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 91 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2285 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2505 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.2754 |