| National Provider Identifier [NPI]: | 1912905530 |
| Last Name Of The Provider | REEVES |
| First Name Of The Provider | BRIAN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 601 E ROLLINS ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | ORLANDO |
| Zip Code Of The Provider | 328031248 |
| 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 | 126 |
| Number Of Services | 12210 |
| Number Of Medicare Beneficiaries | 4829 |
| Total Submitted Charge Amount | 626950.09 |
| Total Medicare Allowed Amount | 208371.96 |
| Total Medicare Payment Amount | 153073.89 |
| Total Medicare Standardized Payment Amount | 154772.5 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 5972 |
| Number Of Medicare Beneficiaries With Drug Services | 54 |
| Total Drug Submitted ChargeAmount | 3125.85 |
| Total Drug Medicare AllowedAmount | 1502.13 |
| Total Drug Medicare PaymentAmount | 1143.22 |
| Total Drug Medicare Standardized Payment Amount | 1143.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 123 |
| Number Of Medical Services | 6238 |
| Number Of Medicare Beneficiaries With Medical Services | 4828 |
| Total Medical Submitted Charge Amount | 623824.24 |
| Total Medical Medicare Allowed Amount | 206869.83 |
| Total Medical Medicare Payment Amount | 151930.67 |
| Total Medical Medicare Standardized Payment Amount | 153629.28 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 939 |
| Number Of Beneficiaries Age 65 to 74 | 1728 |
| Number Of Beneficiaries Age 75 to 84 | 1407 |
| Number Of Beneficiaries Age Greater 84 | 755 |
| Number Of Female Beneficiaries | 3035 |
| Number Of Male Beneficiaries | 1794 |
| Number Of Non Hispanic White Beneficiaries | 3366 |
| Number Of Black or African American Beneficiaries | 520 |
| Number Of AsianPacific Islander Beneficiaries | 67 |
| Number Of Hispanic Beneficiaries | 808 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3508 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1321 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.9249 |