| National Provider Identifier [NPI]: | 1730155615 |
| Last Name Of The Provider | MULANEY |
| First Name Of The Provider | JAY |
| 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 | 814 GRIFFIN ROAD |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAKELAND |
| Zip Code Of The Provider | 338052440 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 48 |
| Number Of Services | 11273 |
| Number Of Medicare Beneficiaries | 3357 |
| Total Submitted Charge Amount | 2648121 |
| Total Medicare Allowed Amount | 1579634.97 |
| Total Medicare Payment Amount | 1148445 |
| Total Medicare Standardized Payment Amount | 1163458.09 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 321 |
| Number Of Medicare Beneficiaries With Drug Services | 85 |
| Total Drug Submitted ChargeAmount | 963 |
| Total Drug Medicare AllowedAmount | 639.52 |
| Total Drug Medicare PaymentAmount | 479.69 |
| Total Drug Medicare Standardized Payment Amount | 479.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 47 |
| Number Of Medical Services | 10952 |
| Number Of Medicare Beneficiaries With Medical Services | 3357 |
| Total Medical Submitted Charge Amount | 2647158 |
| Total Medical Medicare Allowed Amount | 1578995.45 |
| Total Medical Medicare Payment Amount | 1147965.31 |
| Total Medical Medicare Standardized Payment Amount | 1162978.4 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 142 |
| Number Of Beneficiaries Age 65 to 74 | 1180 |
| Number Of Beneficiaries Age 75 to 84 | 1384 |
| Number Of Beneficiaries Age Greater 84 | 651 |
| Number Of Female Beneficiaries | 1997 |
| Number Of Male Beneficiaries | 1360 |
| Number Of Non Hispanic White Beneficiaries | 2943 |
| Number Of Black or African American Beneficiaries | 221 |
| Number Of AsianPacific Islander Beneficiaries | 38 |
| Number Of Hispanic Beneficiaries | 123 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3090 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 267 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.1619 |