| National Provider Identifier [NPI]: | 1679571210 |
| Last Name Of The Provider | BAJAYO |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 801 E DIXIE AVE |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | LEESBURG |
| Zip Code Of The Provider | 347487600 |
| 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 | 204 |
| Number Of Services | 20439 |
| Number Of Medicare Beneficiaries | 7015 |
| Total Submitted Charge Amount | 1141891 |
| Total Medicare Allowed Amount | 531044.84 |
| Total Medicare Payment Amount | 418035.02 |
| Total Medicare Standardized Payment Amount | 425695.02 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 8986 |
| Number Of Medicare Beneficiaries With Drug Services | 211 |
| Total Drug Submitted ChargeAmount | 34900 |
| Total Drug Medicare AllowedAmount | 5430.61 |
| Total Drug Medicare PaymentAmount | 4239.12 |
| Total Drug Medicare Standardized Payment Amount | 4239.12 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 198 |
| Number Of Medical Services | 11453 |
| Number Of Medicare Beneficiaries With Medical Services | 7009 |
| Total Medical Submitted Charge Amount | 1106991 |
| Total Medical Medicare Allowed Amount | 525614.23 |
| Total Medical Medicare Payment Amount | 413795.9 |
| Total Medical Medicare Standardized Payment Amount | 421455.9 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 497 |
| Number Of Beneficiaries Age 65 to 74 | 2738 |
| Number Of Beneficiaries Age 75 to 84 | 2637 |
| Number Of Beneficiaries Age Greater 84 | 1143 |
| Number Of Female Beneficiaries | 3875 |
| Number Of Male Beneficiaries | 3140 |
| Number Of Non Hispanic White Beneficiaries | 6499 |
| Number Of Black or African American Beneficiaries | 286 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 138 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 59 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6201 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 814 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.6662 |