| National Provider Identifier [NPI]: | 1780628339 |
| Last Name Of The Provider | MILES |
| First Name Of The Provider | DANIEL |
| 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 | 1673 MASON AVE |
| Street Address 2 Of The Provider | SUITE# 305 |
| City Of The Provider | DAYTONA BEACH |
| Zip Code Of The Provider | 321175515 |
| 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 | 303 |
| Number Of Services | 36887.5 |
| Number Of Medicare Beneficiaries | 2716 |
| Total Submitted Charge Amount | 2300347.89 |
| Total Medicare Allowed Amount | 720063.66 |
| Total Medicare Payment Amount | 553233.35 |
| Total Medicare Standardized Payment Amount | 565150.61 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 33007.5 |
| Number Of Medicare Beneficiaries With Drug Services | 485 |
| Total Drug Submitted ChargeAmount | 49295.21 |
| Total Drug Medicare AllowedAmount | 9417.71 |
| Total Drug Medicare PaymentAmount | 7270.87 |
| Total Drug Medicare Standardized Payment Amount | 7270.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 292 |
| Number Of Medical Services | 3880 |
| Number Of Medicare Beneficiaries With Medical Services | 2709 |
| Total Medical Submitted Charge Amount | 2251052.68 |
| Total Medical Medicare Allowed Amount | 710645.95 |
| Total Medical Medicare Payment Amount | 545962.48 |
| Total Medical Medicare Standardized Payment Amount | 557879.74 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 410 |
| Number Of Beneficiaries Age 65 to 74 | 1145 |
| Number Of Beneficiaries Age 75 to 84 | 830 |
| Number Of Beneficiaries Age Greater 84 | 331 |
| Number Of Female Beneficiaries | 1484 |
| Number Of Male Beneficiaries | 1232 |
| Number Of Non Hispanic White Beneficiaries | 2378 |
| Number Of Black or African American Beneficiaries | 203 |
| Number Of AsianPacific Islander Beneficiaries | 19 |
| Number Of Hispanic Beneficiaries | 80 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2263 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 453 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4807 |