| National Provider Identifier [NPI]: | 1619974201 |
| Last Name Of The Provider | URICCHIO |
| First Name Of The Provider | BRADFORD |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 601 E ROLLINS ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | ORLANDO |
| Zip Code Of The Provider | 328031248 |
| 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 | 174 |
| Number Of Services | 6566 |
| Number Of Medicare Beneficiaries | 4588 |
| Total Submitted Charge Amount | 683986.25 |
| Total Medicare Allowed Amount | 203127.5 |
| Total Medicare Payment Amount | 154118.41 |
| Total Medicare Standardized Payment Amount | 151097.83 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 174 |
| Number Of Medical Services | 6566 |
| Number Of Medicare Beneficiaries With Medical Services | 4588 |
| Total Medical Submitted Charge Amount | 683986.25 |
| Total Medical Medicare Allowed Amount | 203127.5 |
| Total Medical Medicare Payment Amount | 154118.41 |
| Total Medical Medicare Standardized Payment Amount | 151097.83 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 868 |
| Number Of Beneficiaries Age 65 to 74 | 1385 |
| Number Of Beneficiaries Age 75 to 84 | 1446 |
| Number Of Beneficiaries Age Greater 84 | 889 |
| Number Of Female Beneficiaries | 2611 |
| Number Of Male Beneficiaries | 1977 |
| Number Of Non Hispanic White Beneficiaries | 2694 |
| Number Of Black or African American Beneficiaries | 661 |
| Number Of AsianPacific Islander Beneficiaries | 62 |
| Number Of Hispanic Beneficiaries | 1110 |
| Number Of American Indian Alaska Native Beneficiaries | 14 |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2524 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2064 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.1206 |