| National Provider Identifier [NPI]: | 1972566982 |
| Last Name Of The Provider | LEVINE |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 800 MEADOWS RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BOCA RATON |
| Zip Code Of The Provider | 334862304 |
| 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 | 198 |
| Number Of Services | 29430 |
| Number Of Medicare Beneficiaries | 7535 |
| Total Submitted Charge Amount | 1669126.4 |
| Total Medicare Allowed Amount | 678606.62 |
| Total Medicare Payment Amount | 516193.77 |
| Total Medicare Standardized Payment Amount | 501219.11 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 19005 |
| Number Of Medicare Beneficiaries With Drug Services | 295 |
| Total Drug Submitted ChargeAmount | 10187.4 |
| Total Drug Medicare AllowedAmount | 5220.64 |
| Total Drug Medicare PaymentAmount | 4060.25 |
| Total Drug Medicare Standardized Payment Amount | 4060.25 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 194 |
| Number Of Medical Services | 10425 |
| Number Of Medicare Beneficiaries With Medical Services | 7534 |
| Total Medical Submitted Charge Amount | 1658939 |
| Total Medical Medicare Allowed Amount | 673385.98 |
| Total Medical Medicare Payment Amount | 512133.52 |
| Total Medical Medicare Standardized Payment Amount | 497158.86 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 249 |
| Number Of Beneficiaries Age 65 to 74 | 2310 |
| Number Of Beneficiaries Age 75 to 84 | 2871 |
| Number Of Beneficiaries Age Greater 84 | 2105 |
| Number Of Female Beneficiaries | 4221 |
| Number Of Male Beneficiaries | 3314 |
| Number Of Non Hispanic White Beneficiaries | 7060 |
| Number Of Black or African American Beneficiaries | 110 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 243 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 87 |
| Number Of Beneficiaries With Medicare Only Entitlement | 7162 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 373 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6006 |