| National Provider Identifier [NPI]: | 1245479054 |
| Last Name Of The Provider | SHOU |
| First Name Of The Provider | JASON |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1613 HARRISON PKWY STE 200 |
| Street Address 2 Of The Provider | SHERIDAN HEALTHCORP |
| City Of The Provider | SUNRISE |
| Zip Code Of The Provider | 333232853 |
| 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 | 193 |
| Number Of Services | 7151 |
| Number Of Medicare Beneficiaries | 3831 |
| Total Submitted Charge Amount | 1224001.94 |
| Total Medicare Allowed Amount | 209869.04 |
| Total Medicare Payment Amount | 158978.72 |
| Total Medicare Standardized Payment Amount | 159667.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 703 |
| Number Of Medicare Beneficiaries With Drug Services | 14 |
| Total Drug Submitted ChargeAmount | 1093.48 |
| Total Drug Medicare AllowedAmount | 287.57 |
| Total Drug Medicare PaymentAmount | 225.47 |
| Total Drug Medicare Standardized Payment Amount | 225.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 191 |
| Number Of Medical Services | 6448 |
| Number Of Medicare Beneficiaries With Medical Services | 3830 |
| Total Medical Submitted Charge Amount | 1222908.46 |
| Total Medical Medicare Allowed Amount | 209581.47 |
| Total Medical Medicare Payment Amount | 158753.25 |
| Total Medical Medicare Standardized Payment Amount | 159441.92 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 800 |
| Number Of Beneficiaries Age 65 to 74 | 1283 |
| Number Of Beneficiaries Age 75 to 84 | 1113 |
| Number Of Beneficiaries Age Greater 84 | 635 |
| Number Of Female Beneficiaries | 2275 |
| Number Of Male Beneficiaries | 1556 |
| Number Of Non Hispanic White Beneficiaries | 2537 |
| Number Of Black or African American Beneficiaries | 477 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 729 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2620 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1211 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 51 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.0175 |