| National Provider Identifier [NPI]: | 1386672467 |
| Last Name Of The Provider | TARDITI |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 210 W ATLANTIC AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | HADDON HEIGHTS |
| Zip Code Of The Provider | 080351715 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 61 |
| Number Of Services | 15797 |
| Number Of Medicare Beneficiaries | 3861 |
| Total Submitted Charge Amount | 1425428.25 |
| Total Medicare Allowed Amount | 811158.6 |
| Total Medicare Payment Amount | 620394.89 |
| Total Medicare Standardized Payment Amount | 590364.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 8399 |
| Number Of Medicare Beneficiaries With Drug Services | 233 |
| Total Drug Submitted ChargeAmount | 46154.25 |
| Total Drug Medicare AllowedAmount | 42477.01 |
| Total Drug Medicare PaymentAmount | 32918.74 |
| Total Drug Medicare Standardized Payment Amount | 32918.74 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 58 |
| Number Of Medical Services | 7398 |
| Number Of Medicare Beneficiaries With Medical Services | 3860 |
| Total Medical Submitted Charge Amount | 1379274 |
| Total Medical Medicare Allowed Amount | 768681.59 |
| Total Medical Medicare Payment Amount | 587476.15 |
| Total Medical Medicare Standardized Payment Amount | 557445.64 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 581 |
| Number Of Beneficiaries Age 65 to 74 | 1329 |
| Number Of Beneficiaries Age 75 to 84 | 1141 |
| Number Of Beneficiaries Age Greater 84 | 810 |
| Number Of Female Beneficiaries | 2079 |
| Number Of Male Beneficiaries | 1782 |
| Number Of Non Hispanic White Beneficiaries | 2986 |
| Number Of Black or African American Beneficiaries | 582 |
| Number Of AsianPacific Islander Beneficiaries | 49 |
| Number Of Hispanic Beneficiaries | 198 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3006 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 855 |
| Percent Of With Atrial Fibrillation | 31 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 2.0859 |