| National Provider Identifier [NPI]: | 1083704845 |
| Last Name Of The Provider | FLESZAR |
| First Name Of The Provider | DAVID |
| 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 | 3430 TAMIAMI TRL |
| Street Address 2 Of The Provider | SUITE B |
| City Of The Provider | PORT CHARLOTTE |
| Zip Code Of The Provider | 339528148 |
| 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 | 218 |
| Number Of Services | 67820 |
| Number Of Medicare Beneficiaries | 5669 |
| Total Submitted Charge Amount | 2336187.87 |
| Total Medicare Allowed Amount | 1083806.29 |
| Total Medicare Payment Amount | 840571.72 |
| Total Medicare Standardized Payment Amount | 865028.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 58943 |
| Number Of Medicare Beneficiaries With Drug Services | 794 |
| Total Drug Submitted ChargeAmount | 29952.12 |
| Total Drug Medicare AllowedAmount | 15441.39 |
| Total Drug Medicare PaymentAmount | 12021.87 |
| Total Drug Medicare Standardized Payment Amount | 12021.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 214 |
| Number Of Medical Services | 8877 |
| Number Of Medicare Beneficiaries With Medical Services | 5668 |
| Total Medical Submitted Charge Amount | 2306235.75 |
| Total Medical Medicare Allowed Amount | 1068364.9 |
| Total Medical Medicare Payment Amount | 828549.85 |
| Total Medical Medicare Standardized Payment Amount | 853006.44 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 418 |
| Number Of Beneficiaries Age 65 to 74 | 2677 |
| Number Of Beneficiaries Age 75 to 84 | 1879 |
| Number Of Beneficiaries Age Greater 84 | 695 |
| Number Of Female Beneficiaries | 3430 |
| Number Of Male Beneficiaries | 2239 |
| Number Of Non Hispanic White Beneficiaries | 5322 |
| Number Of Black or African American Beneficiaries | 132 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 115 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 83 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5311 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 358 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.129 |