| National Provider Identifier [NPI]: | 1750384830 |
| Last Name Of The Provider | GLAZER |
| First Name Of The Provider | JONATHAN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3725 11TH CIR |
| Street Address 2 Of The Provider | |
| City Of The Provider | VERO BEACH |
| Zip Code Of The Provider | 329604804 |
| 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 | 188 |
| Number Of Services | 99693 |
| Number Of Medicare Beneficiaries | 2934 |
| Total Submitted Charge Amount | 2737288.69 |
| Total Medicare Allowed Amount | 1149558.85 |
| Total Medicare Payment Amount | 881659.48 |
| Total Medicare Standardized Payment Amount | 877189.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 95196 |
| Number Of Medicare Beneficiaries With Drug Services | 1255 |
| Total Drug Submitted ChargeAmount | 104631.04 |
| Total Drug Medicare AllowedAmount | 22627.16 |
| Total Drug Medicare PaymentAmount | 17717.23 |
| Total Drug Medicare Standardized Payment Amount | 17717.23 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 180 |
| Number Of Medical Services | 4497 |
| Number Of Medicare Beneficiaries With Medical Services | 2928 |
| Total Medical Submitted Charge Amount | 2632657.65 |
| Total Medical Medicare Allowed Amount | 1126931.69 |
| Total Medical Medicare Payment Amount | 863942.25 |
| Total Medical Medicare Standardized Payment Amount | 859471.81 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 227 |
| Number Of Beneficiaries Age 65 to 74 | 1140 |
| Number Of Beneficiaries Age 75 to 84 | 1084 |
| Number Of Beneficiaries Age Greater 84 | 483 |
| Number Of Female Beneficiaries | 1519 |
| Number Of Male Beneficiaries | 1415 |
| Number Of Non Hispanic White Beneficiaries | 2766 |
| Number Of Black or African American Beneficiaries | 69 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 55 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2683 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 251 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 24 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.5153 |