| National Provider Identifier [NPI]: | 1942255062 |
| Last Name Of The Provider | STENGEL |
| First Name Of The Provider | RONALD |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3100 E. FLETCHER AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336134613 |
| 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 | 302 |
| Number Of Services | 34856 |
| Number Of Medicare Beneficiaries | 7657 |
| Total Submitted Charge Amount | 3338403.17 |
| Total Medicare Allowed Amount | 741113.04 |
| Total Medicare Payment Amount | 592084.07 |
| Total Medicare Standardized Payment Amount | 603254.46 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 22599 |
| Number Of Medicare Beneficiaries With Drug Services | 294 |
| Total Drug Submitted ChargeAmount | 29664.5 |
| Total Drug Medicare AllowedAmount | 6918.65 |
| Total Drug Medicare PaymentAmount | 5422.16 |
| Total Drug Medicare Standardized Payment Amount | 5422.16 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 297 |
| Number Of Medical Services | 12257 |
| Number Of Medicare Beneficiaries With Medical Services | 7657 |
| Total Medical Submitted Charge Amount | 3308738.67 |
| Total Medical Medicare Allowed Amount | 734194.39 |
| Total Medical Medicare Payment Amount | 586661.91 |
| Total Medical Medicare Standardized Payment Amount | 597832.3 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 1116 |
| Number Of Beneficiaries Age 65 to 74 | 2725 |
| Number Of Beneficiaries Age 75 to 84 | 2372 |
| Number Of Beneficiaries Age Greater 84 | 1444 |
| Number Of Female Beneficiaries | 4871 |
| Number Of Male Beneficiaries | 2786 |
| Number Of Non Hispanic White Beneficiaries | 6578 |
| Number Of Black or African American Beneficiaries | 510 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 421 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 78 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5834 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1823 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.7917 |