| National Provider Identifier [NPI]: | 1659330033 |
| Last Name Of The Provider | ESPINO-MAYA |
| First Name Of The Provider | MARILIN |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2700 UNIVERSITY SQUARE DRIVE |
| 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 | Nuclear Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 213 |
| Number Of Services | 17093 |
| Number Of Medicare Beneficiaries | 4301 |
| Total Submitted Charge Amount | 1609660 |
| Total Medicare Allowed Amount | 467836.6 |
| Total Medicare Payment Amount | 355943.65 |
| Total Medicare Standardized Payment Amount | 361337.14 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 11317 |
| Number Of Medicare Beneficiaries With Drug Services | 170 |
| Total Drug Submitted ChargeAmount | 24473 |
| Total Drug Medicare AllowedAmount | 3538.9 |
| Total Drug Medicare PaymentAmount | 2735.78 |
| Total Drug Medicare Standardized Payment Amount | 2735.78 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 206 |
| Number Of Medical Services | 5776 |
| Number Of Medicare Beneficiaries With Medical Services | 4301 |
| Total Medical Submitted Charge Amount | 1585187 |
| Total Medical Medicare Allowed Amount | 464297.7 |
| Total Medical Medicare Payment Amount | 353207.87 |
| Total Medical Medicare Standardized Payment Amount | 358601.36 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 623 |
| Number Of Beneficiaries Age 65 to 74 | 1784 |
| Number Of Beneficiaries Age 75 to 84 | 1321 |
| Number Of Beneficiaries Age Greater 84 | 573 |
| Number Of Female Beneficiaries | 2567 |
| Number Of Male Beneficiaries | 1734 |
| Number Of Non Hispanic White Beneficiaries | 3403 |
| Number Of Black or African American Beneficiaries | 370 |
| Number Of AsianPacific Islander Beneficiaries | 51 |
| Number Of Hispanic Beneficiaries | 434 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3428 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 873 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5741 |