| National Provider Identifier [NPI]: | 1982665055 |
| Last Name Of The Provider | READDY |
| First Name Of The Provider | CHARLES |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 508 S HABANA AVE |
| Street Address 2 Of The Provider | SUITE 160 |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336094181 |
| 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 | 231 |
| Number Of Services | 10836 |
| Number Of Medicare Beneficiaries | 4431 |
| Total Submitted Charge Amount | 1535900 |
| Total Medicare Allowed Amount | 269580.85 |
| Total Medicare Payment Amount | 212258.13 |
| Total Medicare Standardized Payment Amount | 213613.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 4769 |
| Number Of Medicare Beneficiaries With Drug Services | 49 |
| Total Drug Submitted ChargeAmount | 5061 |
| Total Drug Medicare AllowedAmount | 1013.93 |
| Total Drug Medicare PaymentAmount | 782.02 |
| Total Drug Medicare Standardized Payment Amount | 782.02 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 229 |
| Number Of Medical Services | 6067 |
| Number Of Medicare Beneficiaries With Medical Services | 4431 |
| Total Medical Submitted Charge Amount | 1530839 |
| Total Medical Medicare Allowed Amount | 268566.92 |
| Total Medical Medicare Payment Amount | 211476.11 |
| Total Medical Medicare Standardized Payment Amount | 212831.37 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 667 |
| Number Of Beneficiaries Age 65 to 74 | 1321 |
| Number Of Beneficiaries Age 75 to 84 | 1447 |
| Number Of Beneficiaries Age Greater 84 | 996 |
| Number Of Female Beneficiaries | 2763 |
| Number Of Male Beneficiaries | 1668 |
| Number Of Non Hispanic White Beneficiaries | 3875 |
| Number Of Black or African American Beneficiaries | 245 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 236 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3291 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1140 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 40 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9061 |