| National Provider Identifier [NPI]: | 1609862077 |
| Last Name Of The Provider | PEVSNER |
| First Name Of The Provider | NORMAN |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1599 NW 9TH AVE |
| Street Address 2 Of The Provider | STE 204 |
| City Of The Provider | BOCA RATON |
| Zip Code Of The Provider | 334861310 |
| 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 | 176 |
| Number Of Services | 8591 |
| Number Of Medicare Beneficiaries | 1664 |
| Total Submitted Charge Amount | 1406356.25 |
| Total Medicare Allowed Amount | 666716.07 |
| Total Medicare Payment Amount | 514124.85 |
| Total Medicare Standardized Payment Amount | 498595.3 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 4461 |
| Number Of Medicare Beneficiaries With Drug Services | 549 |
| Total Drug Submitted ChargeAmount | 49838.75 |
| Total Drug Medicare AllowedAmount | 23895.58 |
| Total Drug Medicare PaymentAmount | 18678.91 |
| Total Drug Medicare Standardized Payment Amount | 18678.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 165 |
| Number Of Medical Services | 4130 |
| Number Of Medicare Beneficiaries With Medical Services | 1664 |
| Total Medical Submitted Charge Amount | 1356517.5 |
| Total Medical Medicare Allowed Amount | 642820.49 |
| Total Medical Medicare Payment Amount | 495445.94 |
| Total Medical Medicare Standardized Payment Amount | 479916.39 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 219 |
| Number Of Beneficiaries Age 65 to 74 | 727 |
| Number Of Beneficiaries Age 75 to 84 | 469 |
| Number Of Beneficiaries Age Greater 84 | 249 |
| Number Of Female Beneficiaries | 913 |
| Number Of Male Beneficiaries | 751 |
| Number Of Non Hispanic White Beneficiaries | 1129 |
| Number Of Black or African American Beneficiaries | 220 |
| Number Of AsianPacific Islander Beneficiaries | 72 |
| Number Of Hispanic Beneficiaries | 215 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 28 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1231 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 433 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3657 |