| National Provider Identifier [NPI]: | 1649226804 |
| Last Name Of The Provider | GREEN |
| First Name Of The Provider | ADAM |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5637 MARINE PKWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | NEW PORT RICHEY |
| Zip Code Of The Provider | 346524316 |
| 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 | 129 |
| Number Of Services | 9848 |
| Number Of Medicare Beneficiaries | 5697 |
| Total Submitted Charge Amount | 1185255 |
| Total Medicare Allowed Amount | 338784.78 |
| Total Medicare Payment Amount | 259782.46 |
| Total Medicare Standardized Payment Amount | 263659.79 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 32 |
| Number Of Medicare Beneficiaries With Drug Services | 32 |
| Total Drug Submitted ChargeAmount | 2400 |
| Total Drug Medicare AllowedAmount | 5.44 |
| Total Drug Medicare PaymentAmount | 4.39 |
| Total Drug Medicare Standardized Payment Amount | 4.39 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 128 |
| Number Of Medical Services | 9816 |
| Number Of Medicare Beneficiaries With Medical Services | 5696 |
| Total Medical Submitted Charge Amount | 1182855 |
| Total Medical Medicare Allowed Amount | 338779.34 |
| Total Medical Medicare Payment Amount | 259778.07 |
| Total Medical Medicare Standardized Payment Amount | 263655.4 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1017 |
| Number Of Beneficiaries Age 65 to 74 | 1819 |
| Number Of Beneficiaries Age 75 to 84 | 1705 |
| Number Of Beneficiaries Age Greater 84 | 1156 |
| Number Of Female Beneficiaries | 3359 |
| Number Of Male Beneficiaries | 2338 |
| Number Of Non Hispanic White Beneficiaries | 4778 |
| Number Of Black or African American Beneficiaries | 417 |
| Number Of AsianPacific Islander Beneficiaries | 66 |
| Number Of Hispanic Beneficiaries | 380 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4134 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1563 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.8279 |