| National Provider Identifier [NPI]: | 1104075043 |
| Last Name Of The Provider | KUMM |
| First Name Of The Provider | TODD |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2700 UNIVERSITY SQUARE DR |
| Street Address 2 Of The Provider | RADIOLOGY ASSOCIATES 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 | 204 |
| Number Of Services | 11939 |
| Number Of Medicare Beneficiaries | 4755 |
| Total Submitted Charge Amount | 1051277 |
| Total Medicare Allowed Amount | 339025.59 |
| Total Medicare Payment Amount | 272716.91 |
| Total Medicare Standardized Payment Amount | 277754.74 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 4605 |
| Number Of Medicare Beneficiaries With Drug Services | 72 |
| Total Drug Submitted ChargeAmount | 9864 |
| Total Drug Medicare AllowedAmount | 1420.84 |
| Total Drug Medicare PaymentAmount | 1113.86 |
| Total Drug Medicare Standardized Payment Amount | 1113.86 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 199 |
| Number Of Medical Services | 7334 |
| Number Of Medicare Beneficiaries With Medical Services | 4755 |
| Total Medical Submitted Charge Amount | 1041413 |
| Total Medical Medicare Allowed Amount | 337604.75 |
| Total Medical Medicare Payment Amount | 271603.05 |
| Total Medical Medicare Standardized Payment Amount | 276640.88 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 885 |
| Number Of Beneficiaries Age 65 to 74 | 1947 |
| Number Of Beneficiaries Age 75 to 84 | 1330 |
| Number Of Beneficiaries Age Greater 84 | 593 |
| Number Of Female Beneficiaries | 3026 |
| Number Of Male Beneficiaries | 1729 |
| Number Of Non Hispanic White Beneficiaries | 3619 |
| Number Of Black or African American Beneficiaries | 510 |
| Number Of AsianPacific Islander Beneficiaries | 69 |
| Number Of Hispanic Beneficiaries | 485 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3572 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1183 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.8893 |