| National Provider Identifier [NPI]: | 1881653269 |
| Last Name Of The Provider | GERMAIN |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | J |
| 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 DRIVE |
| 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 | 239 |
| Number Of Services | 12259 |
| Number Of Medicare Beneficiaries | 5993 |
| Total Submitted Charge Amount | 1013367 |
| Total Medicare Allowed Amount | 334944.69 |
| Total Medicare Payment Amount | 256031.3 |
| Total Medicare Standardized Payment Amount | 260373.26 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 3500 |
| Number Of Medicare Beneficiaries With Drug Services | 66 |
| Total Drug Submitted ChargeAmount | 6399 |
| Total Drug Medicare AllowedAmount | 1303.75 |
| Total Drug Medicare PaymentAmount | 1022.16 |
| Total Drug Medicare Standardized Payment Amount | 1022.16 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 234 |
| Number Of Medical Services | 8759 |
| Number Of Medicare Beneficiaries With Medical Services | 5993 |
| Total Medical Submitted Charge Amount | 1006968 |
| Total Medical Medicare Allowed Amount | 333640.94 |
| Total Medical Medicare Payment Amount | 255009.14 |
| Total Medical Medicare Standardized Payment Amount | 259351.1 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1004 |
| Number Of Beneficiaries Age 65 to 74 | 2154 |
| Number Of Beneficiaries Age 75 to 84 | 1826 |
| Number Of Beneficiaries Age Greater 84 | 1009 |
| Number Of Female Beneficiaries | 3342 |
| Number Of Male Beneficiaries | 2651 |
| Number Of Non Hispanic White Beneficiaries | 4876 |
| Number Of Black or African American Beneficiaries | 540 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 448 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 68 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4607 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1386 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.9561 |