| National Provider Identifier [NPI]: | 1063607216 |
| Last Name Of The Provider | RAO |
| First Name Of The Provider | NISHA |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2700 UNIVERSITY SQUARE DR |
| Street Address 2 Of The Provider | RADIOLOGY ASSOC OF TAMPA |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336125513 |
| 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 | 201 |
| Number Of Services | 17793 |
| Number Of Medicare Beneficiaries | 4793 |
| Total Submitted Charge Amount | 1672952.4 |
| Total Medicare Allowed Amount | 483119.61 |
| Total Medicare Payment Amount | 371486.33 |
| Total Medicare Standardized Payment Amount | 383490.69 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 10647 |
| Number Of Medicare Beneficiaries With Drug Services | 174 |
| Total Drug Submitted ChargeAmount | 16330.4 |
| Total Drug Medicare AllowedAmount | 3541.63 |
| Total Drug Medicare PaymentAmount | 2618.26 |
| Total Drug Medicare Standardized Payment Amount | 2618.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 194 |
| Number Of Medical Services | 7146 |
| Number Of Medicare Beneficiaries With Medical Services | 4791 |
| Total Medical Submitted Charge Amount | 1656622 |
| Total Medical Medicare Allowed Amount | 479577.98 |
| Total Medical Medicare Payment Amount | 368868.07 |
| Total Medical Medicare Standardized Payment Amount | 380872.43 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 812 |
| Number Of Beneficiaries Age 65 to 74 | 2069 |
| Number Of Beneficiaries Age 75 to 84 | 1381 |
| Number Of Beneficiaries Age Greater 84 | 531 |
| Number Of Female Beneficiaries | 3014 |
| Number Of Male Beneficiaries | 1779 |
| Number Of Non Hispanic White Beneficiaries | 3725 |
| Number Of Black or African American Beneficiaries | 465 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 459 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 81 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3811 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 982 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6023 |