| National Provider Identifier [NPI]: | 1326074188 |
| Last Name Of The Provider | WASYLIW |
| First Name Of The Provider | CHRISTOPHER |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | MD |
| 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 | 165 |
| Number Of Services | 10573 |
| Number Of Medicare Beneficiaries | 6391 |
| Total Submitted Charge Amount | 713886.51 |
| Total Medicare Allowed Amount | 242128.92 |
| Total Medicare Payment Amount | 187198.79 |
| Total Medicare Standardized Payment Amount | 188321.05 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1580 |
| Number Of Medicare Beneficiaries With Drug Services | 18 |
| Total Drug Submitted ChargeAmount | 1204.49 |
| Total Drug Medicare AllowedAmount | 574.79 |
| Total Drug Medicare PaymentAmount | 450.63 |
| Total Drug Medicare Standardized Payment Amount | 450.63 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 162 |
| Number Of Medical Services | 8993 |
| Number Of Medicare Beneficiaries With Medical Services | 6391 |
| Total Medical Submitted Charge Amount | 712682.02 |
| Total Medical Medicare Allowed Amount | 241554.13 |
| Total Medical Medicare Payment Amount | 186748.16 |
| Total Medical Medicare Standardized Payment Amount | 187870.42 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1002 |
| Number Of Beneficiaries Age 65 to 74 | 2409 |
| Number Of Beneficiaries Age 75 to 84 | 1913 |
| Number Of Beneficiaries Age Greater 84 | 1067 |
| Number Of Female Beneficiaries | 4151 |
| Number Of Male Beneficiaries | 2240 |
| Number Of Non Hispanic White Beneficiaries | 4837 |
| Number Of Black or African American Beneficiaries | 610 |
| Number Of AsianPacific Islander Beneficiaries | 91 |
| Number Of Hispanic Beneficiaries | 770 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4941 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1450 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8256 |