| National Provider Identifier [NPI]: | 1104874288 |
| Last Name Of The Provider | KELLER |
| First Name Of The Provider | CATHRINE |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 801 E DIXIE AVE |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | LEESBURG |
| Zip Code Of The Provider | 347487601 |
| 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 | 201 |
| Number Of Services | 43727 |
| Number Of Medicare Beneficiaries | 6888 |
| Total Submitted Charge Amount | 2216685 |
| Total Medicare Allowed Amount | 1052381.31 |
| Total Medicare Payment Amount | 851039.18 |
| Total Medicare Standardized Payment Amount | 869675.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 32962 |
| Number Of Medicare Beneficiaries With Drug Services | 590 |
| Total Drug Submitted ChargeAmount | 91352 |
| Total Drug Medicare AllowedAmount | 11748.62 |
| Total Drug Medicare PaymentAmount | 9136.74 |
| Total Drug Medicare Standardized Payment Amount | 9136.74 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 195 |
| Number Of Medical Services | 10765 |
| Number Of Medicare Beneficiaries With Medical Services | 6874 |
| Total Medical Submitted Charge Amount | 2125333 |
| Total Medical Medicare Allowed Amount | 1040632.69 |
| Total Medical Medicare Payment Amount | 841902.44 |
| Total Medical Medicare Standardized Payment Amount | 860538.64 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 299 |
| Number Of Beneficiaries Age 65 to 74 | 3313 |
| Number Of Beneficiaries Age 75 to 84 | 2581 |
| Number Of Beneficiaries Age Greater 84 | 695 |
| Number Of Female Beneficiaries | 4572 |
| Number Of Male Beneficiaries | 2316 |
| Number Of Non Hispanic White Beneficiaries | 6549 |
| Number Of Black or African American Beneficiaries | 138 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 95 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 76 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6517 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 371 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.2802 |