| National Provider Identifier [NPI]: | 1710984240 |
| Last Name Of The Provider | BERGER |
| First Name Of The Provider | JACK |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 601 E ROLLINS ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | ORLANDO |
| Zip Code Of The Provider | 328031248 |
| 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 | 132 |
| Number Of Services | 10507 |
| Number Of Medicare Beneficiaries | 5811 |
| Total Submitted Charge Amount | 675321.66 |
| Total Medicare Allowed Amount | 236254.04 |
| Total Medicare Payment Amount | 176242.54 |
| Total Medicare Standardized Payment Amount | 178406.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 2816 |
| Number Of Medicare Beneficiaries With Drug Services | 30 |
| Total Drug Submitted ChargeAmount | 1633.16 |
| Total Drug Medicare AllowedAmount | 862.61 |
| Total Drug Medicare PaymentAmount | 676.24 |
| Total Drug Medicare Standardized Payment Amount | 676.24 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 129 |
| Number Of Medical Services | 7691 |
| Number Of Medicare Beneficiaries With Medical Services | 5810 |
| Total Medical Submitted Charge Amount | 673688.5 |
| Total Medical Medicare Allowed Amount | 235391.43 |
| Total Medical Medicare Payment Amount | 175566.3 |
| Total Medical Medicare Standardized Payment Amount | 177730.4 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1022 |
| Number Of Beneficiaries Age 65 to 74 | 1953 |
| Number Of Beneficiaries Age 75 to 84 | 1725 |
| Number Of Beneficiaries Age Greater 84 | 1111 |
| Number Of Female Beneficiaries | 3372 |
| Number Of Male Beneficiaries | 2439 |
| Number Of Non Hispanic White Beneficiaries | 4114 |
| Number Of Black or African American Beneficiaries | 604 |
| Number Of AsianPacific Islander Beneficiaries | 85 |
| Number Of Hispanic Beneficiaries | 927 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4264 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1547 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 50 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.186 |