| National Provider Identifier [NPI]: | 1265429914 |
| Last Name Of The Provider | DAVIS |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 20 W KALEY ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | ORLANDO |
| Zip Code Of The Provider | 328062931 |
| 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 | 189 |
| Number Of Services | 6446 |
| Number Of Medicare Beneficiaries | 4025 |
| Total Submitted Charge Amount | 680666 |
| Total Medicare Allowed Amount | 192326.71 |
| Total Medicare Payment Amount | 142195.55 |
| Total Medicare Standardized Payment Amount | 142561.48 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 189 |
| Number Of Medical Services | 6446 |
| Number Of Medicare Beneficiaries With Medical Services | 4025 |
| Total Medical Submitted Charge Amount | 680666 |
| Total Medical Medicare Allowed Amount | 192326.71 |
| Total Medical Medicare Payment Amount | 142195.55 |
| Total Medical Medicare Standardized Payment Amount | 142561.48 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 686 |
| Number Of Beneficiaries Age 65 to 74 | 1351 |
| Number Of Beneficiaries Age 75 to 84 | 1258 |
| Number Of Beneficiaries Age Greater 84 | 730 |
| Number Of Female Beneficiaries | 2517 |
| Number Of Male Beneficiaries | 1508 |
| Number Of Non Hispanic White Beneficiaries | 3043 |
| Number Of Black or African American Beneficiaries | 468 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 396 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 58 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2926 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1099 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.1234 |