| National Provider Identifier [NPI]: | 1265423073 |
| Last Name Of The Provider | MISCHEN |
| First Name Of The Provider | BYRON |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M. D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1106 DRUID RD S |
| Street Address 2 Of The Provider | SUITE 302 |
| City Of The Provider | CLEARWATER |
| Zip Code Of The Provider | 337563846 |
| 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 | 208 |
| Number Of Services | 23925 |
| Number Of Medicare Beneficiaries | 3948 |
| Total Submitted Charge Amount | 1763983.7 |
| Total Medicare Allowed Amount | 510035.81 |
| Total Medicare Payment Amount | 395789.34 |
| Total Medicare Standardized Payment Amount | 401873.02 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 17856 |
| Number Of Medicare Beneficiaries With Drug Services | 202 |
| Total Drug Submitted ChargeAmount | 45371.6 |
| Total Drug Medicare AllowedAmount | 4963.83 |
| Total Drug Medicare PaymentAmount | 3861.36 |
| Total Drug Medicare Standardized Payment Amount | 3861.36 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 205 |
| Number Of Medical Services | 6069 |
| Number Of Medicare Beneficiaries With Medical Services | 3944 |
| Total Medical Submitted Charge Amount | 1718612.1 |
| Total Medical Medicare Allowed Amount | 505071.98 |
| Total Medical Medicare Payment Amount | 391927.98 |
| Total Medical Medicare Standardized Payment Amount | 398011.66 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 512 |
| Number Of Beneficiaries Age 65 to 74 | 1338 |
| Number Of Beneficiaries Age 75 to 84 | 1250 |
| Number Of Beneficiaries Age Greater 84 | 848 |
| Number Of Female Beneficiaries | 2540 |
| Number Of Male Beneficiaries | 1408 |
| Number Of Non Hispanic White Beneficiaries | 3624 |
| Number Of Black or African American Beneficiaries | 113 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 112 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 59 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3201 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 747 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.8455 |