| National Provider Identifier [NPI]: | 1568681138 |
| Last Name Of The Provider | ANDERSON |
| First Name Of The Provider | AMELIA |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2700 UNIVERSITY SQUARE DR |
| Street Address 2 Of The Provider | RADIOLOGY ASSOC OF TAMPA |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336125513 |
| 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 | 210 |
| Number Of Services | 23307 |
| Number Of Medicare Beneficiaries | 8321 |
| Total Submitted Charge Amount | 1569978 |
| Total Medicare Allowed Amount | 543414.69 |
| Total Medicare Payment Amount | 418162.93 |
| Total Medicare Standardized Payment Amount | 423893.61 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 10710 |
| Number Of Medicare Beneficiaries With Drug Services | 189 |
| Total Drug Submitted ChargeAmount | 13700 |
| Total Drug Medicare AllowedAmount | 3541.54 |
| Total Drug Medicare PaymentAmount | 2776.43 |
| Total Drug Medicare Standardized Payment Amount | 2776.43 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 207 |
| Number Of Medical Services | 12597 |
| Number Of Medicare Beneficiaries With Medical Services | 8321 |
| Total Medical Submitted Charge Amount | 1556278 |
| Total Medical Medicare Allowed Amount | 539873.15 |
| Total Medical Medicare Payment Amount | 415386.5 |
| Total Medical Medicare Standardized Payment Amount | 421117.18 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 730 |
| Number Of Beneficiaries Age 65 to 74 | 3024 |
| Number Of Beneficiaries Age 75 to 84 | 2850 |
| Number Of Beneficiaries Age Greater 84 | 1717 |
| Number Of Female Beneficiaries | 4878 |
| Number Of Male Beneficiaries | 3443 |
| Number Of Non Hispanic White Beneficiaries | 7603 |
| Number Of Black or African American Beneficiaries | 309 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 251 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 110 |
| Number Of Beneficiaries With Medicare Only Entitlement | 7210 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1111 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.4748 |