| National Provider Identifier [NPI]: | 1104857986 |
| Last Name Of The Provider | VENSEL |
| First Name Of The Provider | ERIC |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1441 RIDGE ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | NAPLES |
| Zip Code Of The Provider | 341034211 |
| 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 | 247 |
| Number Of Services | 41469 |
| Number Of Medicare Beneficiaries | 4556 |
| Total Submitted Charge Amount | 1175371.5 |
| Total Medicare Allowed Amount | 568597.5 |
| Total Medicare Payment Amount | 429724.16 |
| Total Medicare Standardized Payment Amount | 414771.13 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 34199 |
| Number Of Medicare Beneficiaries With Drug Services | 353 |
| Total Drug Submitted ChargeAmount | 25020.5 |
| Total Drug Medicare AllowedAmount | 7051.37 |
| Total Drug Medicare PaymentAmount | 5491.62 |
| Total Drug Medicare Standardized Payment Amount | 5491.62 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 241 |
| Number Of Medical Services | 7270 |
| Number Of Medicare Beneficiaries With Medical Services | 4548 |
| Total Medical Submitted Charge Amount | 1150351 |
| Total Medical Medicare Allowed Amount | 561546.13 |
| Total Medical Medicare Payment Amount | 424232.54 |
| Total Medical Medicare Standardized Payment Amount | 409279.51 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 230 |
| Number Of Beneficiaries Age 65 to 74 | 1816 |
| Number Of Beneficiaries Age 75 to 84 | 1776 |
| Number Of Beneficiaries Age Greater 84 | 734 |
| Number Of Female Beneficiaries | 2347 |
| Number Of Male Beneficiaries | 2209 |
| Number Of Non Hispanic White Beneficiaries | 4170 |
| Number Of Black or African American Beneficiaries | 61 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 245 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4175 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 381 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3149 |