| National Provider Identifier [NPI]: | 1689842643 |
| Last Name Of The Provider | HATTAWAY |
| First Name Of The Provider | AARON |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 701 W COCOA BEACH CSWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | COCOA BEACH |
| Zip Code Of The Provider | 329313585 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 222 |
| Number Of Services | 6410 |
| Number Of Medicare Beneficiaries | 4173 |
| Total Submitted Charge Amount | 615954 |
| Total Medicare Allowed Amount | 207930.74 |
| Total Medicare Payment Amount | 158021.48 |
| Total Medicare Standardized Payment Amount | 160603.46 |
| 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 | 222 |
| Number Of Medical Services | 6410 |
| Number Of Medicare Beneficiaries With Medical Services | 4173 |
| Total Medical Submitted Charge Amount | 615954 |
| Total Medical Medicare Allowed Amount | 207930.74 |
| Total Medical Medicare Payment Amount | 158021.48 |
| Total Medical Medicare Standardized Payment Amount | 160603.46 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 547 |
| Number Of Beneficiaries Age 65 to 74 | 1373 |
| Number Of Beneficiaries Age 75 to 84 | 1404 |
| Number Of Beneficiaries Age Greater 84 | 849 |
| Number Of Female Beneficiaries | 2405 |
| Number Of Male Beneficiaries | 1768 |
| Number Of Non Hispanic White Beneficiaries | 3696 |
| Number Of Black or African American Beneficiaries | 236 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 146 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 62 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3484 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 689 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.8055 |