| National Provider Identifier [NPI]: | 1356314660 |
| Last Name Of The Provider | GORELL |
| First Name Of The Provider | HOWARD |
| 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 | 1600 LAKELAND HILLS BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAKELAND |
| Zip Code Of The Provider | 33805 |
| 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 | 181 |
| Number Of Services | 9078 |
| Number Of Medicare Beneficiaries | 4621 |
| Total Submitted Charge Amount | 1843319 |
| Total Medicare Allowed Amount | 707413.44 |
| Total Medicare Payment Amount | 535105.64 |
| Total Medicare Standardized Payment Amount | 550968.17 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 2095 |
| Number Of Medicare Beneficiaries With Drug Services | 23 |
| Total Drug Submitted ChargeAmount | 4190 |
| Total Drug Medicare AllowedAmount | 858.21 |
| Total Drug Medicare PaymentAmount | 672.78 |
| Total Drug Medicare Standardized Payment Amount | 672.78 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 180 |
| Number Of Medical Services | 6983 |
| Number Of Medicare Beneficiaries With Medical Services | 4621 |
| Total Medical Submitted Charge Amount | 1839129 |
| Total Medical Medicare Allowed Amount | 706555.23 |
| Total Medical Medicare Payment Amount | 534432.86 |
| Total Medical Medicare Standardized Payment Amount | 550295.39 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 570 |
| Number Of Beneficiaries Age 65 to 74 | 1550 |
| Number Of Beneficiaries Age 75 to 84 | 1643 |
| Number Of Beneficiaries Age Greater 84 | 858 |
| Number Of Female Beneficiaries | 2639 |
| Number Of Male Beneficiaries | 1982 |
| Number Of Non Hispanic White Beneficiaries | 4102 |
| Number Of Black or African American Beneficiaries | 265 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 179 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3771 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 850 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5881 |