| National Provider Identifier [NPI]: | 1932197761 |
| Last Name Of The Provider | ALLEN |
| First Name Of The Provider | DANA |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1818 SW 15TH AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | OCALA |
| Zip Code Of The Provider | 344743548 |
| 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 | 193 |
| Number Of Services | 25809 |
| Number Of Medicare Beneficiaries | 4182 |
| Total Submitted Charge Amount | 2017486.1 |
| Total Medicare Allowed Amount | 561025.31 |
| Total Medicare Payment Amount | 423447.25 |
| Total Medicare Standardized Payment Amount | 431096.65 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 19743 |
| Number Of Medicare Beneficiaries With Drug Services | 274 |
| Total Drug Submitted ChargeAmount | 54468.5 |
| Total Drug Medicare AllowedAmount | 6022.28 |
| Total Drug Medicare PaymentAmount | 4684.74 |
| Total Drug Medicare Standardized Payment Amount | 4684.74 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 186 |
| Number Of Medical Services | 6066 |
| Number Of Medicare Beneficiaries With Medical Services | 4180 |
| Total Medical Submitted Charge Amount | 1963017.6 |
| Total Medical Medicare Allowed Amount | 555003.03 |
| Total Medical Medicare Payment Amount | 418762.51 |
| Total Medical Medicare Standardized Payment Amount | 426411.91 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 574 |
| Number Of Beneficiaries Age 65 to 74 | 1428 |
| Number Of Beneficiaries Age 75 to 84 | 1443 |
| Number Of Beneficiaries Age Greater 84 | 737 |
| Number Of Female Beneficiaries | 2403 |
| Number Of Male Beneficiaries | 1779 |
| Number Of Non Hispanic White Beneficiaries | 3626 |
| Number Of Black or African American Beneficiaries | 303 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 179 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3373 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 809 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7716 |