| National Provider Identifier [NPI]: | 1801985072 |
| Last Name Of The Provider | FELDMAN |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2700 UNIVERSITY SQUARE DR |
| Street Address 2 Of The Provider | RADIOLOGY ASSOC OF TAMPA |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336125513 |
| 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 | 16461 |
| Number Of Medicare Beneficiaries | 5447 |
| Total Submitted Charge Amount | 1435529 |
| Total Medicare Allowed Amount | 435829.56 |
| Total Medicare Payment Amount | 335609.7 |
| Total Medicare Standardized Payment Amount | 343395.07 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 7749 |
| Number Of Medicare Beneficiaries With Drug Services | 180 |
| Total Drug Submitted ChargeAmount | 16623 |
| Total Drug Medicare AllowedAmount | 3943.1 |
| Total Drug Medicare PaymentAmount | 3091.36 |
| Total Drug Medicare Standardized Payment Amount | 3091.36 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 197 |
| Number Of Medical Services | 8712 |
| Number Of Medicare Beneficiaries With Medical Services | 5446 |
| Total Medical Submitted Charge Amount | 1418906 |
| Total Medical Medicare Allowed Amount | 431886.46 |
| Total Medical Medicare Payment Amount | 332518.34 |
| Total Medical Medicare Standardized Payment Amount | 340303.71 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1184 |
| Number Of Beneficiaries Age 65 to 74 | 2044 |
| Number Of Beneficiaries Age 75 to 84 | 1482 |
| Number Of Beneficiaries Age Greater 84 | 737 |
| Number Of Female Beneficiaries | 3182 |
| Number Of Male Beneficiaries | 2265 |
| Number Of Non Hispanic White Beneficiaries | 4004 |
| Number Of Black or African American Beneficiaries | 704 |
| Number Of AsianPacific Islander Beneficiaries | 75 |
| Number Of Hispanic Beneficiaries | 588 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3857 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1590 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.0714 |