| National Provider Identifier [NPI]: | 1427204148 |
| Last Name Of The Provider | MALONEY |
| First Name Of The Provider | JASON |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1600 LAKELAND HILLS BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAKELAND |
| Zip Code Of The Provider | 338053019 |
| 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 | 210 |
| Number Of Services | 14946 |
| Number Of Medicare Beneficiaries | 3872 |
| Total Submitted Charge Amount | 1311018 |
| Total Medicare Allowed Amount | 353608.4 |
| Total Medicare Payment Amount | 271982.79 |
| Total Medicare Standardized Payment Amount | 283502.59 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 9446 |
| Number Of Medicare Beneficiaries With Drug Services | 108 |
| Total Drug Submitted ChargeAmount | 18925 |
| Total Drug Medicare AllowedAmount | 3875.73 |
| Total Drug Medicare PaymentAmount | 3038.35 |
| Total Drug Medicare Standardized Payment Amount | 3038.35 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 207 |
| Number Of Medical Services | 5500 |
| Number Of Medicare Beneficiaries With Medical Services | 3870 |
| Total Medical Submitted Charge Amount | 1292093 |
| Total Medical Medicare Allowed Amount | 349732.67 |
| Total Medical Medicare Payment Amount | 268944.44 |
| Total Medical Medicare Standardized Payment Amount | 280464.24 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 543 |
| Number Of Beneficiaries Age 65 to 74 | 1426 |
| Number Of Beneficiaries Age 75 to 84 | 1236 |
| Number Of Beneficiaries Age Greater 84 | 667 |
| Number Of Female Beneficiaries | 2317 |
| Number Of Male Beneficiaries | 1555 |
| Number Of Non Hispanic White Beneficiaries | 3003 |
| Number Of Black or African American Beneficiaries | 703 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 104 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3136 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 736 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.6809 |