| National Provider Identifier [NPI]: | 1578548533 |
| Last Name Of The Provider | MCDONNELL |
| First Name Of The Provider | KEVIN |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4071 BATTERSEA RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | MIAMI |
| Zip Code Of The Provider | 331336601 |
| 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 | 143 |
| Number Of Services | 8918 |
| Number Of Medicare Beneficiaries | 6240 |
| Total Submitted Charge Amount | 704392 |
| Total Medicare Allowed Amount | 200014.86 |
| Total Medicare Payment Amount | 155438.27 |
| Total Medicare Standardized Payment Amount | 145213.55 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 143 |
| Number Of Medical Services | 8918 |
| Number Of Medicare Beneficiaries With Medical Services | 6240 |
| Total Medical Submitted Charge Amount | 704392 |
| Total Medical Medicare Allowed Amount | 200014.86 |
| Total Medical Medicare Payment Amount | 155438.27 |
| Total Medical Medicare Standardized Payment Amount | 145213.55 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1260 |
| Number Of Beneficiaries Age 65 to 74 | 1910 |
| Number Of Beneficiaries Age 75 to 84 | 1804 |
| Number Of Beneficiaries Age Greater 84 | 1266 |
| Number Of Female Beneficiaries | 3382 |
| Number Of Male Beneficiaries | 2858 |
| Number Of Non Hispanic White Beneficiaries | 4520 |
| Number Of Black or African American Beneficiaries | 1016 |
| Number Of AsianPacific Islander Beneficiaries | 71 |
| Number Of Hispanic Beneficiaries | 522 |
| Number Of American Indian Alaska Native Beneficiaries | 56 |
| Number Of Beneficiaries With Race Not Else where Classified | 55 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3700 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2540 |
| Percent Of With Atrial Fibrillation | 28 |
| Percent Of With Alzheimers Disease or Dementia | 33 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 56 |
| Percent Of With Chronic Kidney Disease | 58 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 46 |
| Percent Of With Depression | 43 |
| Percent Of With Diabetes | 52 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 14 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 2.6422 |