| National Provider Identifier [NPI]: | 1073711776 |
| Last Name Of The Provider | MAYO |
| First Name Of The Provider | JASON |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 550 1ST AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | NEW YORK |
| Zip Code Of The Provider | 100166402 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 230 |
| Number Of Services | 19321 |
| Number Of Medicare Beneficiaries | 3335 |
| Total Submitted Charge Amount | 1258078.93 |
| Total Medicare Allowed Amount | 346135.7 |
| Total Medicare Payment Amount | 260391.35 |
| Total Medicare Standardized Payment Amount | 244176.48 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 13517 |
| Number Of Medicare Beneficiaries With Drug Services | 151 |
| Total Drug Submitted ChargeAmount | 14081 |
| Total Drug Medicare AllowedAmount | 3843.48 |
| Total Drug Medicare PaymentAmount | 3007.12 |
| Total Drug Medicare Standardized Payment Amount | 3007.12 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 227 |
| Number Of Medical Services | 5804 |
| Number Of Medicare Beneficiaries With Medical Services | 3335 |
| Total Medical Submitted Charge Amount | 1243997.93 |
| Total Medical Medicare Allowed Amount | 342292.22 |
| Total Medical Medicare Payment Amount | 257384.23 |
| Total Medical Medicare Standardized Payment Amount | 241169.36 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 627 |
| Number Of Beneficiaries Age 65 to 74 | 1009 |
| Number Of Beneficiaries Age 75 to 84 | 958 |
| Number Of Beneficiaries Age Greater 84 | 741 |
| Number Of Female Beneficiaries | 2056 |
| Number Of Male Beneficiaries | 1279 |
| Number Of Non Hispanic White Beneficiaries | 2780 |
| Number Of Black or African American Beneficiaries | 145 |
| Number Of AsianPacific Islander Beneficiaries | 54 |
| Number Of Hispanic Beneficiaries | 315 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1962 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1373 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.7403 |