| National Provider Identifier [NPI]: | 1710096417 |
| Last Name Of The Provider | REESE |
| First Name Of The Provider | RONALD |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 422 LAKEFRONT DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | PANAMA CITY BEACH |
| Zip Code Of The Provider | 324131084 |
| 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 | 142 |
| Number Of Services | 8099 |
| Number Of Medicare Beneficiaries | 4180 |
| Total Submitted Charge Amount | 800263 |
| Total Medicare Allowed Amount | 264340.27 |
| Total Medicare Payment Amount | 205131.56 |
| Total Medicare Standardized Payment Amount | 206932.22 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 142 |
| Number Of Medical Services | 8099 |
| Number Of Medicare Beneficiaries With Medical Services | 4180 |
| Total Medical Submitted Charge Amount | 800263 |
| Total Medical Medicare Allowed Amount | 264340.27 |
| Total Medical Medicare Payment Amount | 205131.56 |
| Total Medical Medicare Standardized Payment Amount | 206932.22 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 992 |
| Number Of Beneficiaries Age 65 to 74 | 1317 |
| Number Of Beneficiaries Age 75 to 84 | 1230 |
| Number Of Beneficiaries Age Greater 84 | 641 |
| Number Of Female Beneficiaries | 2356 |
| Number Of Male Beneficiaries | 1824 |
| Number Of Non Hispanic White Beneficiaries | 3660 |
| Number Of Black or African American Beneficiaries | 398 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 50 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2747 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1433 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 42 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 1.859 |