| National Provider Identifier [NPI]: | 1083693063 |
| Last Name Of The Provider | OSORIO |
| First Name Of The Provider | ALEXANDRA |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1640 NORTH MAITLAND AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | MAITLAND |
| Zip Code Of The Provider | 32751 |
| 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 | 173 |
| Number Of Services | 44668 |
| Number Of Medicare Beneficiaries | 2165 |
| Total Submitted Charge Amount | 2440202.5 |
| Total Medicare Allowed Amount | 664854.86 |
| Total Medicare Payment Amount | 506009.51 |
| Total Medicare Standardized Payment Amount | 520652.59 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 41023 |
| Number Of Medicare Beneficiaries With Drug Services | 487 |
| Total Drug Submitted ChargeAmount | 93040.5 |
| Total Drug Medicare AllowedAmount | 9754.22 |
| Total Drug Medicare PaymentAmount | 7544.14 |
| Total Drug Medicare Standardized Payment Amount | 7544.14 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 167 |
| Number Of Medical Services | 3645 |
| Number Of Medicare Beneficiaries With Medical Services | 2154 |
| Total Medical Submitted Charge Amount | 2347162 |
| Total Medical Medicare Allowed Amount | 655100.64 |
| Total Medical Medicare Payment Amount | 498465.37 |
| Total Medical Medicare Standardized Payment Amount | 513108.45 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 193 |
| Number Of Beneficiaries Age 65 to 74 | 1113 |
| Number Of Beneficiaries Age 75 to 84 | 651 |
| Number Of Beneficiaries Age Greater 84 | 208 |
| Number Of Female Beneficiaries | 1326 |
| Number Of Male Beneficiaries | 839 |
| Number Of Non Hispanic White Beneficiaries | 1659 |
| Number Of Black or African American Beneficiaries | 176 |
| Number Of AsianPacific Islander Beneficiaries | 53 |
| Number Of Hispanic Beneficiaries | 235 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1983 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 182 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.1317 |