| National Provider Identifier [NPI]: | 1124087515 |
| Last Name Of The Provider | RODRIGUEZ |
| First Name Of The Provider | DOUGLAS |
| 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 | 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 | 202 |
| Number Of Services | 18404 |
| Number Of Medicare Beneficiaries | 3452 |
| Total Submitted Charge Amount | 1795658.9 |
| Total Medicare Allowed Amount | 456313.98 |
| Total Medicare Payment Amount | 345018.15 |
| Total Medicare Standardized Payment Amount | 360767.01 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 13604 |
| Number Of Medicare Beneficiaries With Drug Services | 332 |
| Total Drug Submitted ChargeAmount | 21444.9 |
| Total Drug Medicare AllowedAmount | 6967.51 |
| Total Drug Medicare PaymentAmount | 5001.34 |
| Total Drug Medicare Standardized Payment Amount | 5001.34 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 199 |
| Number Of Medical Services | 4800 |
| Number Of Medicare Beneficiaries With Medical Services | 3442 |
| Total Medical Submitted Charge Amount | 1774214 |
| Total Medical Medicare Allowed Amount | 449346.47 |
| Total Medical Medicare Payment Amount | 340016.81 |
| Total Medical Medicare Standardized Payment Amount | 355765.67 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 729 |
| Number Of Beneficiaries Age 65 to 74 | 1387 |
| Number Of Beneficiaries Age 75 to 84 | 951 |
| Number Of Beneficiaries Age Greater 84 | 385 |
| Number Of Female Beneficiaries | 2014 |
| Number Of Male Beneficiaries | 1438 |
| Number Of Non Hispanic White Beneficiaries | 2611 |
| Number Of Black or African American Beneficiaries | 347 |
| Number Of AsianPacific Islander Beneficiaries | 50 |
| Number Of Hispanic Beneficiaries | 394 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2618 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 834 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.6909 |