| National Provider Identifier [NPI]: | 1134221542 |
| Last Name Of The Provider | RANDALL |
| First Name Of The Provider | RODNEY |
| 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 | 2727 W DR MARTIN LUTHER KING JR BLVD |
| Street Address 2 Of The Provider | SUITE 418 |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336076383 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 44 |
| Number Of Services | 17807 |
| Number Of Medicare Beneficiaries | 1935 |
| Total Submitted Charge Amount | 3926709 |
| Total Medicare Allowed Amount | 1973794.61 |
| Total Medicare Payment Amount | 1499127.81 |
| Total Medicare Standardized Payment Amount | 1562984.7 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 5377 |
| Number Of Medicare Beneficiaries With Drug Services | 535 |
| Total Drug Submitted ChargeAmount | 156390 |
| Total Drug Medicare AllowedAmount | 11619.94 |
| Total Drug Medicare PaymentAmount | 9097.87 |
| Total Drug Medicare Standardized Payment Amount | 9097.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 42 |
| Number Of Medical Services | 12430 |
| Number Of Medicare Beneficiaries With Medical Services | 1935 |
| Total Medical Submitted Charge Amount | 3770319 |
| Total Medical Medicare Allowed Amount | 1962174.67 |
| Total Medical Medicare Payment Amount | 1490029.94 |
| Total Medical Medicare Standardized Payment Amount | 1553886.83 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 103 |
| Number Of Beneficiaries Age 65 to 74 | 819 |
| Number Of Beneficiaries Age 75 to 84 | 687 |
| Number Of Beneficiaries Age Greater 84 | 326 |
| Number Of Female Beneficiaries | 1072 |
| Number Of Male Beneficiaries | 863 |
| Number Of Non Hispanic White Beneficiaries | 1561 |
| Number Of Black or African American Beneficiaries | 159 |
| Number Of AsianPacific Islander Beneficiaries | 12 |
| Number Of Hispanic Beneficiaries | 181 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1808 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 127 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2551 |