| National Provider Identifier [NPI]: | 1619948387 |
| Last Name Of The Provider | COHEN |
| First Name Of The Provider | BRADLEY |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2565 S STATE ROAD 7 |
| Street Address 2 Of The Provider | |
| City Of The Provider | WELLINGTON |
| Zip Code Of The Provider | 334149368 |
| 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 | 163 |
| Number Of Services | 79995 |
| Number Of Medicare Beneficiaries | 10630 |
| Total Submitted Charge Amount | 3664157.8 |
| Total Medicare Allowed Amount | 1681973.62 |
| Total Medicare Payment Amount | 1287313.98 |
| Total Medicare Standardized Payment Amount | 1253077.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 63852 |
| Number Of Medicare Beneficiaries With Drug Services | 808 |
| Total Drug Submitted ChargeAmount | 24533.8 |
| Total Drug Medicare AllowedAmount | 13685.89 |
| Total Drug Medicare PaymentAmount | 10599.97 |
| Total Drug Medicare Standardized Payment Amount | 10599.97 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 160 |
| Number Of Medical Services | 16143 |
| Number Of Medicare Beneficiaries With Medical Services | 10628 |
| Total Medical Submitted Charge Amount | 3639624 |
| Total Medical Medicare Allowed Amount | 1668287.73 |
| Total Medical Medicare Payment Amount | 1276714.01 |
| Total Medical Medicare Standardized Payment Amount | 1242477.31 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 480 |
| Number Of Beneficiaries Age 65 to 74 | 4035 |
| Number Of Beneficiaries Age 75 to 84 | 4015 |
| Number Of Beneficiaries Age Greater 84 | 2100 |
| Number Of Female Beneficiaries | 6590 |
| Number Of Male Beneficiaries | 4040 |
| Number Of Non Hispanic White Beneficiaries | 9799 |
| Number Of Black or African American Beneficiaries | 249 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 338 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 175 |
| Number Of Beneficiaries With Medicare Only Entitlement | 10090 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 540 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 18 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3334 |