| National Provider Identifier [NPI]: | 1861439325 |
| Last Name Of The Provider | REIHELD |
| First Name Of The Provider | CRAIG |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 512 NOKOMIS AVE S |
| Street Address 2 Of The Provider | |
| City Of The Provider | VENICE |
| Zip Code Of The Provider | 342852817 |
| 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 | 357 |
| Number Of Services | 20464 |
| Number Of Medicare Beneficiaries | 2516 |
| Total Submitted Charge Amount | 1068397.37 |
| Total Medicare Allowed Amount | 879221.13 |
| Total Medicare Payment Amount | 687418.26 |
| Total Medicare Standardized Payment Amount | 695574.92 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 15 |
| Number Of Drug Services | 15074 |
| Number Of Medicare Beneficiaries With Drug Services | 212 |
| Total Drug Submitted ChargeAmount | 9968.02 |
| Total Drug Medicare AllowedAmount | 4534.34 |
| Total Drug Medicare PaymentAmount | 3554.58 |
| Total Drug Medicare Standardized Payment Amount | 3554.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 342 |
| Number Of Medical Services | 5390 |
| Number Of Medicare Beneficiaries With Medical Services | 2515 |
| Total Medical Submitted Charge Amount | 1058429.35 |
| Total Medical Medicare Allowed Amount | 874686.79 |
| Total Medical Medicare Payment Amount | 683863.68 |
| Total Medical Medicare Standardized Payment Amount | 692020.34 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 133 |
| Number Of Beneficiaries Age 65 to 74 | 737 |
| Number Of Beneficiaries Age 75 to 84 | 917 |
| Number Of Beneficiaries Age Greater 84 | 729 |
| Number Of Female Beneficiaries | 1321 |
| Number Of Male Beneficiaries | 1195 |
| Number Of Non Hispanic White Beneficiaries | 2438 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 30 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2258 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 258 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.7514 |