| National Provider Identifier [NPI]: | 1619923984 |
| Last Name Of The Provider | MEISENBACH |
| First Name Of The Provider | HARRY |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6716 NW 11TH PL |
| Street Address 2 Of The Provider | |
| City Of The Provider | GAINESVILLE |
| Zip Code Of The Provider | 326054215 |
| 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 | 209 |
| Number Of Services | 12658 |
| Number Of Medicare Beneficiaries | 4649 |
| Total Submitted Charge Amount | 843236 |
| Total Medicare Allowed Amount | 300787.54 |
| Total Medicare Payment Amount | 236886.01 |
| Total Medicare Standardized Payment Amount | 242333.19 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 5186 |
| Number Of Medicare Beneficiaries With Drug Services | 62 |
| Total Drug Submitted ChargeAmount | 27555 |
| Total Drug Medicare AllowedAmount | 1679.34 |
| Total Drug Medicare PaymentAmount | 1246.26 |
| Total Drug Medicare Standardized Payment Amount | 1246.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 201 |
| Number Of Medical Services | 7472 |
| Number Of Medicare Beneficiaries With Medical Services | 4648 |
| Total Medical Submitted Charge Amount | 815681 |
| Total Medical Medicare Allowed Amount | 299108.2 |
| Total Medical Medicare Payment Amount | 235639.75 |
| Total Medical Medicare Standardized Payment Amount | 241086.93 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 738 |
| Number Of Beneficiaries Age 65 to 74 | 1647 |
| Number Of Beneficiaries Age 75 to 84 | 1466 |
| Number Of Beneficiaries Age Greater 84 | 798 |
| Number Of Female Beneficiaries | 3029 |
| Number Of Male Beneficiaries | 1620 |
| Number Of Non Hispanic White Beneficiaries | 3952 |
| Number Of Black or African American Beneficiaries | 548 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 87 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3307 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1342 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7768 |