| National Provider Identifier [NPI]: | 1700835170 |
| Last Name Of The Provider | LIU |
| First Name Of The Provider | YI |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D., PHD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 801 E DIXIE AVE |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | LEESBURG |
| Zip Code Of The Provider | 347487601 |
| 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 | 232 |
| Number Of Services | 32427 |
| Number Of Medicare Beneficiaries | 6663 |
| Total Submitted Charge Amount | 2304444 |
| Total Medicare Allowed Amount | 1051601.07 |
| Total Medicare Payment Amount | 847668.01 |
| Total Medicare Standardized Payment Amount | 865951.11 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 21542 |
| Number Of Medicare Beneficiaries With Drug Services | 627 |
| Total Drug Submitted ChargeAmount | 111674 |
| Total Drug Medicare AllowedAmount | 19464.81 |
| Total Drug Medicare PaymentAmount | 15218.56 |
| Total Drug Medicare Standardized Payment Amount | 15218.56 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 224 |
| Number Of Medical Services | 10885 |
| Number Of Medicare Beneficiaries With Medical Services | 6647 |
| Total Medical Submitted Charge Amount | 2192770 |
| Total Medical Medicare Allowed Amount | 1032136.26 |
| Total Medical Medicare Payment Amount | 832449.45 |
| Total Medical Medicare Standardized Payment Amount | 850732.55 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 345 |
| Number Of Beneficiaries Age 65 to 74 | 3138 |
| Number Of Beneficiaries Age 75 to 84 | 2446 |
| Number Of Beneficiaries Age Greater 84 | 734 |
| Number Of Female Beneficiaries | 4442 |
| Number Of Male Beneficiaries | 2221 |
| Number Of Non Hispanic White Beneficiaries | 6320 |
| Number Of Black or African American Beneficiaries | 136 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 124 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 56 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6245 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 418 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.3552 |