| National Provider Identifier [NPI]: | 1871574186 |
| Last Name Of The Provider | DIAZ |
| First Name Of The Provider | MICHAEL |
| 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 | 1615 PASADENA AVE S |
| Street Address 2 Of The Provider | SUITE 400 |
| City Of The Provider | SOUTH PASADENA |
| Zip Code Of The Provider | 337074516 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 171 |
| Number Of Services | 165810 |
| Number Of Medicare Beneficiaries | 687 |
| Total Submitted Charge Amount | 4625339 |
| Total Medicare Allowed Amount | 1762097.67 |
| Total Medicare Payment Amount | 1384055.92 |
| Total Medicare Standardized Payment Amount | 1380192.26 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 82 |
| Number Of Drug Services | 154596 |
| Number Of Medicare Beneficiaries With Drug Services | 336 |
| Total Drug Submitted ChargeAmount | 3630454 |
| Total Drug Medicare AllowedAmount | 1386704.29 |
| Total Drug Medicare PaymentAmount | 1084349.62 |
| Total Drug Medicare Standardized Payment Amount | 1084349.62 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 89 |
| Number Of Medical Services | 11214 |
| Number Of Medicare Beneficiaries With Medical Services | 687 |
| Total Medical Submitted Charge Amount | 994885 |
| Total Medical Medicare Allowed Amount | 375393.38 |
| Total Medical Medicare Payment Amount | 299706.3 |
| Total Medical Medicare Standardized Payment Amount | 295842.64 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 111 |
| Number Of Beneficiaries Age 65 to 74 | 238 |
| Number Of Beneficiaries Age 75 to 84 | 218 |
| Number Of Beneficiaries Age Greater 84 | 120 |
| Number Of Female Beneficiaries | 405 |
| Number Of Male Beneficiaries | 282 |
| Number Of Non Hispanic White Beneficiaries | 585 |
| Number Of Black or African American Beneficiaries | 71 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 557 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 130 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 41 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 2.1043 |