| National Provider Identifier [NPI]: | 1235109729 |
| Last Name Of The Provider | HILLMANN |
| First Name Of The Provider | JEFFREY |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M. D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 300 SE HOSPITAL AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | STUART |
| Zip Code Of The Provider | 349942338 |
| 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 | 213 |
| Number Of Services | 9689 |
| Number Of Medicare Beneficiaries | 5054 |
| Total Submitted Charge Amount | 825941.1 |
| Total Medicare Allowed Amount | 305499.89 |
| Total Medicare Payment Amount | 228530.28 |
| Total Medicare Standardized Payment Amount | 221603.57 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1215 |
| Number Of Medicare Beneficiaries With Drug Services | 28 |
| Total Drug Submitted ChargeAmount | 5831.1 |
| Total Drug Medicare AllowedAmount | 776.99 |
| Total Drug Medicare PaymentAmount | 609.2 |
| Total Drug Medicare Standardized Payment Amount | 609.2 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 211 |
| Number Of Medical Services | 8474 |
| Number Of Medicare Beneficiaries With Medical Services | 5054 |
| Total Medical Submitted Charge Amount | 820110 |
| Total Medical Medicare Allowed Amount | 304722.9 |
| Total Medical Medicare Payment Amount | 227921.08 |
| Total Medical Medicare Standardized Payment Amount | 220994.37 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 568 |
| Number Of Beneficiaries Age 65 to 74 | 1608 |
| Number Of Beneficiaries Age 75 to 84 | 1758 |
| Number Of Beneficiaries Age Greater 84 | 1120 |
| Number Of Female Beneficiaries | 2779 |
| Number Of Male Beneficiaries | 2275 |
| Number Of Non Hispanic White Beneficiaries | 4545 |
| Number Of Black or African American Beneficiaries | 216 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 207 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4280 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 774 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.6688 |