| National Provider Identifier [NPI]: | 1275500225 |
| Last Name Of The Provider | STONE |
| First Name Of The Provider | TERRANCE |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 SOUTH ASHLEY DRIVE |
| Street Address 2 Of The Provider | SUITE 1500 |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336025318 |
| 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 | 213 |
| Number Of Services | 10826 |
| Number Of Medicare Beneficiaries | 2904 |
| Total Submitted Charge Amount | 1081046.84 |
| Total Medicare Allowed Amount | 272688.07 |
| Total Medicare Payment Amount | 214887.63 |
| Total Medicare Standardized Payment Amount | 219712.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 6675 |
| Number Of Medicare Beneficiaries With Drug Services | 92 |
| Total Drug Submitted ChargeAmount | 8196 |
| Total Drug Medicare AllowedAmount | 1866.61 |
| Total Drug Medicare PaymentAmount | 1449.86 |
| Total Drug Medicare Standardized Payment Amount | 1449.86 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 208 |
| Number Of Medical Services | 4151 |
| Number Of Medicare Beneficiaries With Medical Services | 2904 |
| Total Medical Submitted Charge Amount | 1072850.84 |
| Total Medical Medicare Allowed Amount | 270821.46 |
| Total Medical Medicare Payment Amount | 213437.77 |
| Total Medical Medicare Standardized Payment Amount | 218262.63 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 663 |
| Number Of Beneficiaries Age 65 to 74 | 1027 |
| Number Of Beneficiaries Age 75 to 84 | 812 |
| Number Of Beneficiaries Age Greater 84 | 402 |
| Number Of Female Beneficiaries | 1909 |
| Number Of Male Beneficiaries | 995 |
| Number Of Non Hispanic White Beneficiaries | 2403 |
| Number Of Black or African American Beneficiaries | 274 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 173 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2012 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 892 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.7992 |