| National Provider Identifier [NPI]: | 1598827016 |
| Last Name Of The Provider | CRAPP |
| First Name Of The Provider | SETH |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 13001 SOUTHERN BLVD. |
| Street Address 2 Of The Provider | R 1318 MEDICAL CENTER NORTH |
| City Of The Provider | LOXAHATCHEE |
| Zip Code Of The Provider | 33470 |
| 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 | 210 |
| Number Of Services | 14148 |
| Number Of Medicare Beneficiaries | 3421 |
| Total Submitted Charge Amount | 1853960.01 |
| Total Medicare Allowed Amount | 421456.82 |
| Total Medicare Payment Amount | 327704.55 |
| Total Medicare Standardized Payment Amount | 319617.82 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 8512 |
| Number Of Medicare Beneficiaries With Drug Services | 122 |
| Total Drug Submitted ChargeAmount | 14261 |
| Total Drug Medicare AllowedAmount | 3195.43 |
| Total Drug Medicare PaymentAmount | 2373.46 |
| Total Drug Medicare Standardized Payment Amount | 2373.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 206 |
| Number Of Medical Services | 5636 |
| Number Of Medicare Beneficiaries With Medical Services | 3413 |
| Total Medical Submitted Charge Amount | 1839699.01 |
| Total Medical Medicare Allowed Amount | 418261.39 |
| Total Medical Medicare Payment Amount | 325331.09 |
| Total Medical Medicare Standardized Payment Amount | 317244.36 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 324 |
| Number Of Beneficiaries Age 65 to 74 | 1198 |
| Number Of Beneficiaries Age 75 to 84 | 1187 |
| Number Of Beneficiaries Age Greater 84 | 712 |
| Number Of Female Beneficiaries | 2043 |
| Number Of Male Beneficiaries | 1378 |
| Number Of Non Hispanic White Beneficiaries | 2974 |
| Number Of Black or African American Beneficiaries | 252 |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | 126 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2906 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 515 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6016 |