| National Provider Identifier [NPI]: | 1942370580 |
| Last Name Of The Provider | MARU |
| First Name Of The Provider | ASHLEY |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2700 UNIVERSITY SQUARE DR |
| Street Address 2 Of The Provider | |
| 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 | 195 |
| Number Of Services | 14357 |
| Number Of Medicare Beneficiaries | 3680 |
| Total Submitted Charge Amount | 1136319.5 |
| Total Medicare Allowed Amount | 306810.98 |
| Total Medicare Payment Amount | 236475.55 |
| Total Medicare Standardized Payment Amount | 244331.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 9080 |
| Number Of Medicare Beneficiaries With Drug Services | 147 |
| Total Drug Submitted ChargeAmount | 17035.5 |
| Total Drug Medicare AllowedAmount | 2403.9 |
| Total Drug Medicare PaymentAmount | 1867.92 |
| Total Drug Medicare Standardized Payment Amount | 1867.92 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 190 |
| Number Of Medical Services | 5277 |
| Number Of Medicare Beneficiaries With Medical Services | 3680 |
| Total Medical Submitted Charge Amount | 1119284 |
| Total Medical Medicare Allowed Amount | 304407.08 |
| Total Medical Medicare Payment Amount | 234607.63 |
| Total Medical Medicare Standardized Payment Amount | 242463.6 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 680 |
| Number Of Beneficiaries Age 65 to 74 | 1449 |
| Number Of Beneficiaries Age 75 to 84 | 1061 |
| Number Of Beneficiaries Age Greater 84 | 490 |
| Number Of Female Beneficiaries | 2206 |
| Number Of Male Beneficiaries | 1474 |
| Number Of Non Hispanic White Beneficiaries | 2741 |
| Number Of Black or African American Beneficiaries | 428 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 390 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 62 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2756 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 924 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.852 |