| National Provider Identifier [NPI]: | 1154360733 |
| Last Name Of The Provider | ZELLER |
| First Name Of The Provider | DONALD |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3355 BURNS RD |
| Street Address 2 Of The Provider | SUITE 105 |
| City Of The Provider | PALM BEACH GARDENS |
| Zip Code Of The Provider | 334104353 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 16 |
| Number Of Services | 11161 |
| Number Of Medicare Beneficiaries | 4814 |
| Total Submitted Charge Amount | 10064083.16 |
| Total Medicare Allowed Amount | 2529351.31 |
| Total Medicare Payment Amount | 1973124.88 |
| Total Medicare Standardized Payment Amount | 1866398.45 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 16 |
| Number Of Medical Services | 11161 |
| Number Of Medicare Beneficiaries With Medical Services | 4814 |
| Total Medical Submitted Charge Amount | 10064083.16 |
| Total Medical Medicare Allowed Amount | 2529351.31 |
| Total Medical Medicare Payment Amount | 1973124.88 |
| Total Medical Medicare Standardized Payment Amount | 1866398.45 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 181 |
| Number Of Beneficiaries Age 65 to 74 | 1705 |
| Number Of Beneficiaries Age 75 to 84 | 1841 |
| Number Of Beneficiaries Age Greater 84 | 1087 |
| Number Of Female Beneficiaries | 1470 |
| Number Of Male Beneficiaries | 3344 |
| Number Of Non Hispanic White Beneficiaries | 4114 |
| Number Of Black or African American Beneficiaries | 207 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 386 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 80 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4337 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 477 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 23 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3653 |