| National Provider Identifier [NPI]: | 1376597252 |
| Last Name Of The Provider | RUDENSKY |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 800 MEADOWS RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BOCA RATON |
| Zip Code Of The Provider | 334862304 |
| 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 | 188 |
| Number Of Services | 22583 |
| Number Of Medicare Beneficiaries | 4679 |
| Total Submitted Charge Amount | 2422658.84 |
| Total Medicare Allowed Amount | 1003225.77 |
| Total Medicare Payment Amount | 771561.31 |
| Total Medicare Standardized Payment Amount | 758402.71 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 16175 |
| Number Of Medicare Beneficiaries With Drug Services | 455 |
| Total Drug Submitted ChargeAmount | 28810.84 |
| Total Drug Medicare AllowedAmount | 14007.88 |
| Total Drug Medicare PaymentAmount | 10938.05 |
| Total Drug Medicare Standardized Payment Amount | 10938.05 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 184 |
| Number Of Medical Services | 6408 |
| Number Of Medicare Beneficiaries With Medical Services | 4666 |
| Total Medical Submitted Charge Amount | 2393848 |
| Total Medical Medicare Allowed Amount | 989217.89 |
| Total Medical Medicare Payment Amount | 760623.26 |
| Total Medical Medicare Standardized Payment Amount | 747464.66 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 262 |
| Number Of Beneficiaries Age 65 to 74 | 1541 |
| Number Of Beneficiaries Age 75 to 84 | 1656 |
| Number Of Beneficiaries Age Greater 84 | 1220 |
| Number Of Female Beneficiaries | 2830 |
| Number Of Male Beneficiaries | 1849 |
| Number Of Non Hispanic White Beneficiaries | 4249 |
| Number Of Black or African American Beneficiaries | 127 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 220 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 56 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4293 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 386 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 19 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 64 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.645 |