| National Provider Identifier [NPI]: | 1447458971 |
| Last Name Of The Provider | BISKUP |
| First Name Of The Provider | DARIUS |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3680 BROADWAY |
| Street Address 2 Of The Provider | |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339018005 |
| 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 | 221 |
| Number Of Services | 22469 |
| Number Of Medicare Beneficiaries | 3126 |
| Total Submitted Charge Amount | 2617435.05 |
| Total Medicare Allowed Amount | 595589.37 |
| Total Medicare Payment Amount | 461980.15 |
| Total Medicare Standardized Payment Amount | 449652.12 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 18151 |
| Number Of Medicare Beneficiaries With Drug Services | 437 |
| Total Drug Submitted ChargeAmount | 60999.75 |
| Total Drug Medicare AllowedAmount | 15103.77 |
| Total Drug Medicare PaymentAmount | 11713.74 |
| Total Drug Medicare Standardized Payment Amount | 11713.74 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 217 |
| Number Of Medical Services | 4318 |
| Number Of Medicare Beneficiaries With Medical Services | 3119 |
| Total Medical Submitted Charge Amount | 2556435.3 |
| Total Medical Medicare Allowed Amount | 580485.6 |
| Total Medical Medicare Payment Amount | 450266.41 |
| Total Medical Medicare Standardized Payment Amount | 437938.38 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 409 |
| Number Of Beneficiaries Age 65 to 74 | 1299 |
| Number Of Beneficiaries Age 75 to 84 | 1047 |
| Number Of Beneficiaries Age Greater 84 | 371 |
| Number Of Female Beneficiaries | 1861 |
| Number Of Male Beneficiaries | 1265 |
| Number Of Non Hispanic White Beneficiaries | 2725 |
| Number Of Black or African American Beneficiaries | 109 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 223 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2637 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 489 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4998 |