| National Provider Identifier [NPI]: | 1992906259 |
| Last Name Of The Provider | HSIAO |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 601 E ROLLINS ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | ORLANDO |
| Zip Code Of The Provider | 328031248 |
| 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 | 75 |
| Number Of Services | 16467 |
| Number Of Medicare Beneficiaries | 4529 |
| Total Submitted Charge Amount | 1311791.69 |
| Total Medicare Allowed Amount | 405948.72 |
| Total Medicare Payment Amount | 307717.3 |
| Total Medicare Standardized Payment Amount | 311239.34 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 10001 |
| Number Of Medicare Beneficiaries With Drug Services | 119 |
| Total Drug Submitted ChargeAmount | 6128.82 |
| Total Drug Medicare AllowedAmount | 3355.06 |
| Total Drug Medicare PaymentAmount | 2565.39 |
| Total Drug Medicare Standardized Payment Amount | 2565.39 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 73 |
| Number Of Medical Services | 6466 |
| Number Of Medicare Beneficiaries With Medical Services | 4520 |
| Total Medical Submitted Charge Amount | 1305662.87 |
| Total Medical Medicare Allowed Amount | 402593.66 |
| Total Medical Medicare Payment Amount | 305151.91 |
| Total Medical Medicare Standardized Payment Amount | 308673.95 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 718 |
| Number Of Beneficiaries Age 65 to 74 | 1545 |
| Number Of Beneficiaries Age 75 to 84 | 1425 |
| Number Of Beneficiaries Age Greater 84 | 841 |
| Number Of Female Beneficiaries | 2743 |
| Number Of Male Beneficiaries | 1786 |
| Number Of Non Hispanic White Beneficiaries | 3277 |
| Number Of Black or African American Beneficiaries | 425 |
| Number Of AsianPacific Islander Beneficiaries | 74 |
| Number Of Hispanic Beneficiaries | 681 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3436 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1093 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 27 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 22 |
| Average HCC Risk Score Of Beneficiaries | 1.8235 |