| National Provider Identifier [NPI]: | 1265432215 |
| Last Name Of The Provider | HUDDLESTON |
| First Name Of The Provider | JOY |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1350 S HICKORY ST |
| Street Address 2 Of The Provider | HOLMES REGIONAL MEDICAL CENTER/RADIOLOGY |
| City Of The Provider | MELBOURNE |
| Zip Code Of The Provider | 329013224 |
| 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 | 188 |
| Number Of Services | 10646 |
| Number Of Medicare Beneficiaries | 4135 |
| Total Submitted Charge Amount | 747886.1 |
| Total Medicare Allowed Amount | 266402.8 |
| Total Medicare Payment Amount | 204727.92 |
| Total Medicare Standardized Payment Amount | 208005.9 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 3884 |
| Number Of Medicare Beneficiaries With Drug Services | 51 |
| Total Drug Submitted ChargeAmount | 5006 |
| Total Drug Medicare AllowedAmount | 1302.99 |
| Total Drug Medicare PaymentAmount | 1007.03 |
| Total Drug Medicare Standardized Payment Amount | 1007.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 182 |
| Number Of Medical Services | 6762 |
| Number Of Medicare Beneficiaries With Medical Services | 4132 |
| Total Medical Submitted Charge Amount | 742880.1 |
| Total Medical Medicare Allowed Amount | 265099.81 |
| Total Medical Medicare Payment Amount | 203720.89 |
| Total Medical Medicare Standardized Payment Amount | 206998.87 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 585 |
| Number Of Beneficiaries Age 65 to 74 | 1329 |
| Number Of Beneficiaries Age 75 to 84 | 1318 |
| Number Of Beneficiaries Age Greater 84 | 903 |
| Number Of Female Beneficiaries | 2334 |
| Number Of Male Beneficiaries | 1801 |
| Number Of Non Hispanic White Beneficiaries | 3602 |
| Number Of Black or African American Beneficiaries | 287 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 179 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3269 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 866 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 27 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.0024 |