| National Provider Identifier [NPI]: | 1134126899 |
| Last Name Of The Provider | LE |
| First Name Of The Provider | GALEN |
| 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 | 100 SOUTH ASHLEY DRIVE |
| Street Address 2 Of The Provider | SUITE 1500 |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336025318 |
| 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 | 219 |
| Number Of Services | 38360 |
| Number Of Medicare Beneficiaries | 5234 |
| Total Submitted Charge Amount | 2471906.5 |
| Total Medicare Allowed Amount | 613018.71 |
| Total Medicare Payment Amount | 481661.21 |
| Total Medicare Standardized Payment Amount | 496890.02 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 30697 |
| Number Of Medicare Beneficiaries With Drug Services | 387 |
| Total Drug Submitted ChargeAmount | 39153.5 |
| Total Drug Medicare AllowedAmount | 9187.35 |
| Total Drug Medicare PaymentAmount | 7162.1 |
| Total Drug Medicare Standardized Payment Amount | 7162.1 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 214 |
| Number Of Medical Services | 7663 |
| Number Of Medicare Beneficiaries With Medical Services | 5233 |
| Total Medical Submitted Charge Amount | 2432753 |
| Total Medical Medicare Allowed Amount | 603831.36 |
| Total Medical Medicare Payment Amount | 474499.11 |
| Total Medical Medicare Standardized Payment Amount | 489727.92 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 887 |
| Number Of Beneficiaries Age 65 to 74 | 1966 |
| Number Of Beneficiaries Age 75 to 84 | 1551 |
| Number Of Beneficiaries Age Greater 84 | 830 |
| Number Of Female Beneficiaries | 3407 |
| Number Of Male Beneficiaries | 1827 |
| Number Of Non Hispanic White Beneficiaries | 4432 |
| Number Of Black or African American Beneficiaries | 432 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 272 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3972 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1262 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.6531 |