| National Provider Identifier [NPI]: | 1043279433 |
| Last Name Of The Provider | PICCA |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2700 UNIVERSITY SQUARE DRIVE |
| Street Address 2 Of The Provider | RADIOLOGY ASSOCIATES OF TAMPA |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336125513 |
| 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 | 206 |
| Number Of Services | 13455 |
| Number Of Medicare Beneficiaries | 4546 |
| Total Submitted Charge Amount | 1405363 |
| Total Medicare Allowed Amount | 424726 |
| Total Medicare Payment Amount | 338381.03 |
| Total Medicare Standardized Payment Amount | 345998.58 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 6190 |
| Number Of Medicare Beneficiaries With Drug Services | 131 |
| Total Drug Submitted ChargeAmount | 14303 |
| Total Drug Medicare AllowedAmount | 3118.93 |
| Total Drug Medicare PaymentAmount | 2384.82 |
| Total Drug Medicare Standardized Payment Amount | 2384.82 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 200 |
| Number Of Medical Services | 7265 |
| Number Of Medicare Beneficiaries With Medical Services | 4545 |
| Total Medical Submitted Charge Amount | 1391060 |
| Total Medical Medicare Allowed Amount | 421607.07 |
| Total Medical Medicare Payment Amount | 335996.21 |
| Total Medical Medicare Standardized Payment Amount | 343613.76 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 982 |
| Number Of Beneficiaries Age 65 to 74 | 1935 |
| Number Of Beneficiaries Age 75 to 84 | 1185 |
| Number Of Beneficiaries Age Greater 84 | 444 |
| Number Of Female Beneficiaries | 2897 |
| Number Of Male Beneficiaries | 1649 |
| Number Of Non Hispanic White Beneficiaries | 3214 |
| Number Of Black or African American Beneficiaries | 583 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 574 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 90 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3301 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1245 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.8781 |