| National Provider Identifier [NPI]: | 1780798520 |
| Last Name Of The Provider | STRASSER |
| First Name Of The Provider | STEPHAN |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 748 S FLETCHER AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | FERNANDINA BEACH |
| Zip Code Of The Provider | 320342230 |
| 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 | 240 |
| Number Of Services | 21581 |
| Number Of Medicare Beneficiaries | 7690 |
| Total Submitted Charge Amount | 2341820.42 |
| Total Medicare Allowed Amount | 476054.79 |
| Total Medicare Payment Amount | 384946.19 |
| Total Medicare Standardized Payment Amount | 390792.54 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 8237 |
| Number Of Medicare Beneficiaries With Drug Services | 107 |
| Total Drug Submitted ChargeAmount | 10439 |
| Total Drug Medicare AllowedAmount | 2507.13 |
| Total Drug Medicare PaymentAmount | 1965.54 |
| Total Drug Medicare Standardized Payment Amount | 1965.54 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 235 |
| Number Of Medical Services | 13344 |
| Number Of Medicare Beneficiaries With Medical Services | 7690 |
| Total Medical Submitted Charge Amount | 2331381.42 |
| Total Medical Medicare Allowed Amount | 473547.66 |
| Total Medical Medicare Payment Amount | 382980.65 |
| Total Medical Medicare Standardized Payment Amount | 388827 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 1095 |
| Number Of Beneficiaries Age 65 to 74 | 2654 |
| Number Of Beneficiaries Age 75 to 84 | 2502 |
| Number Of Beneficiaries Age Greater 84 | 1439 |
| Number Of Female Beneficiaries | 4677 |
| Number Of Male Beneficiaries | 3013 |
| Number Of Non Hispanic White Beneficiaries | 6668 |
| Number Of Black or African American Beneficiaries | 486 |
| Number Of AsianPacific Islander Beneficiaries | 59 |
| Number Of Hispanic Beneficiaries | 414 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 5919 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1771 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.7923 |