| National Provider Identifier [NPI]: | 1154368694 |
| Last Name Of The Provider | VIHLEN |
| First Name Of The Provider | ERIC |
| Middle Initial Of The Provider | M |
| 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 | 217 |
| Number Of Services | 30545 |
| Number Of Medicare Beneficiaries | 5558 |
| Total Submitted Charge Amount | 528526.8 |
| Total Medicare Allowed Amount | 443804.73 |
| Total Medicare Payment Amount | 356334.63 |
| Total Medicare Standardized Payment Amount | 363786.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 20130 |
| Number Of Medicare Beneficiaries With Drug Services | 203 |
| Total Drug Submitted ChargeAmount | 8780.6 |
| Total Drug Medicare AllowedAmount | 4256.01 |
| Total Drug Medicare PaymentAmount | 3322.81 |
| Total Drug Medicare Standardized Payment Amount | 3322.81 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 209 |
| Number Of Medical Services | 10415 |
| Number Of Medicare Beneficiaries With Medical Services | 5557 |
| Total Medical Submitted Charge Amount | 519746.2 |
| Total Medical Medicare Allowed Amount | 439548.72 |
| Total Medical Medicare Payment Amount | 353011.82 |
| Total Medical Medicare Standardized Payment Amount | 360463.58 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 269 |
| Number Of Beneficiaries Age 65 to 74 | 2052 |
| Number Of Beneficiaries Age 75 to 84 | 1987 |
| Number Of Beneficiaries Age Greater 84 | 1250 |
| Number Of Female Beneficiaries | 3535 |
| Number Of Male Beneficiaries | 2023 |
| Number Of Non Hispanic White Beneficiaries | 5402 |
| Number Of Black or African American Beneficiaries | 28 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 66 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5150 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 408 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.3935 |