| National Provider Identifier [NPI]: | 1194770776 |
| Last Name Of The Provider | DURDEN |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1600 PHILLIPS RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | TALLAHASSEE |
| Zip Code Of The Provider | 323085304 |
| 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 | 161 |
| Number Of Services | 15280 |
| Number Of Medicare Beneficiaries | 3236 |
| Total Submitted Charge Amount | 943653 |
| Total Medicare Allowed Amount | 274402.12 |
| Total Medicare Payment Amount | 204562.58 |
| Total Medicare Standardized Payment Amount | 210910.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 10409 |
| Number Of Medicare Beneficiaries With Drug Services | 192 |
| Total Drug Submitted ChargeAmount | 23216 |
| Total Drug Medicare AllowedAmount | 4773.01 |
| Total Drug Medicare PaymentAmount | 3608.45 |
| Total Drug Medicare Standardized Payment Amount | 3608.45 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 157 |
| Number Of Medical Services | 4871 |
| Number Of Medicare Beneficiaries With Medical Services | 3227 |
| Total Medical Submitted Charge Amount | 920437 |
| Total Medical Medicare Allowed Amount | 269629.11 |
| Total Medical Medicare Payment Amount | 200954.13 |
| Total Medical Medicare Standardized Payment Amount | 207302.07 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 666 |
| Number Of Beneficiaries Age 65 to 74 | 1046 |
| Number Of Beneficiaries Age 75 to 84 | 931 |
| Number Of Beneficiaries Age Greater 84 | 593 |
| Number Of Female Beneficiaries | 1900 |
| Number Of Male Beneficiaries | 1336 |
| Number Of Non Hispanic White Beneficiaries | 2408 |
| Number Of Black or African American Beneficiaries | 741 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 48 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2225 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1011 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.6001 |