| National Provider Identifier [NPI]: | 1083662316 |
| Last Name Of The Provider | BANCROFT |
| First Name Of The Provider | JOSIAH |
| 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 | 601 E. ROLLINS STREET |
| Street Address 2 Of The Provider | |
| City Of The Provider | ORLANDO |
| Zip Code Of The Provider | 32803 |
| 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 | 146 |
| Number Of Services | 12924 |
| Number Of Medicare Beneficiaries | 5788 |
| Total Submitted Charge Amount | 959878.92 |
| Total Medicare Allowed Amount | 320935.76 |
| Total Medicare Payment Amount | 247364.77 |
| Total Medicare Standardized Payment Amount | 250242.66 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 4580 |
| Number Of Medicare Beneficiaries With Drug Services | 43 |
| Total Drug Submitted ChargeAmount | 2114.23 |
| Total Drug Medicare AllowedAmount | 953.86 |
| Total Drug Medicare PaymentAmount | 747.76 |
| Total Drug Medicare Standardized Payment Amount | 747.76 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 144 |
| Number Of Medical Services | 8344 |
| Number Of Medicare Beneficiaries With Medical Services | 5787 |
| Total Medical Submitted Charge Amount | 957764.69 |
| Total Medical Medicare Allowed Amount | 319981.9 |
| Total Medical Medicare Payment Amount | 246617.01 |
| Total Medical Medicare Standardized Payment Amount | 249494.9 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1005 |
| Number Of Beneficiaries Age 65 to 74 | 1861 |
| Number Of Beneficiaries Age 75 to 84 | 1779 |
| Number Of Beneficiaries Age Greater 84 | 1143 |
| Number Of Female Beneficiaries | 3361 |
| Number Of Male Beneficiaries | 2427 |
| Number Of Non Hispanic White Beneficiaries | 4175 |
| Number Of Black or African American Beneficiaries | 650 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 796 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 85 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4252 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1536 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 51 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 2.2785 |