| National Provider Identifier [NPI]: | 1225010564 |
| Last Name Of The Provider | YOUSSEF |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4516 N ARMENIA AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336032732 |
| 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 | 187 |
| Number Of Services | 16922 |
| Number Of Medicare Beneficiaries | 2829 |
| Total Submitted Charge Amount | 1038904.49 |
| Total Medicare Allowed Amount | 266481.85 |
| Total Medicare Payment Amount | 201934.52 |
| Total Medicare Standardized Payment Amount | 208490.32 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 12803 |
| Number Of Medicare Beneficiaries With Drug Services | 149 |
| Total Drug Submitted ChargeAmount | 23707.52 |
| Total Drug Medicare AllowedAmount | 4609.96 |
| Total Drug Medicare PaymentAmount | 3547.23 |
| Total Drug Medicare Standardized Payment Amount | 3547.23 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 183 |
| Number Of Medical Services | 4119 |
| Number Of Medicare Beneficiaries With Medical Services | 2828 |
| Total Medical Submitted Charge Amount | 1015196.97 |
| Total Medical Medicare Allowed Amount | 261871.89 |
| Total Medical Medicare Payment Amount | 198387.29 |
| Total Medical Medicare Standardized Payment Amount | 204943.09 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 508 |
| Number Of Beneficiaries Age 65 to 74 | 875 |
| Number Of Beneficiaries Age 75 to 84 | 830 |
| Number Of Beneficiaries Age Greater 84 | 616 |
| Number Of Female Beneficiaries | 1676 |
| Number Of Male Beneficiaries | 1153 |
| Number Of Non Hispanic White Beneficiaries | 1874 |
| Number Of Black or African American Beneficiaries | 355 |
| Number Of AsianPacific Islander Beneficiaries | 25 |
| Number Of Hispanic Beneficiaries | 554 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1794 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1035 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 31 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 1.9995 |