| National Provider Identifier [NPI]: | 1316103823 |
| Last Name Of The Provider | OULDS |
| First Name Of The Provider | KEVIN |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | DPM |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1120 STATE ROAD 436 |
| Street Address 2 Of The Provider | SUITE 1400 |
| City Of The Provider | CASSELBERRY |
| Zip Code Of The Provider | 327076100 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Podiatry |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 21 |
| Number Of Services | 14324 |
| Number Of Medicare Beneficiaries | 3906 |
| Total Submitted Charge Amount | 765384.43 |
| Total Medicare Allowed Amount | 728697.33 |
| Total Medicare Payment Amount | 544397.61 |
| Total Medicare Standardized Payment Amount | 546758.98 |
| 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 | 21 |
| Number Of Medical Services | 14324 |
| Number Of Medicare Beneficiaries With Medical Services | 3906 |
| Total Medical Submitted Charge Amount | 765384.43 |
| Total Medical Medicare Allowed Amount | 728697.33 |
| Total Medical Medicare Payment Amount | 544397.61 |
| Total Medical Medicare Standardized Payment Amount | 546758.98 |
| Average Age Of Beneficiaries | 81 |
| Number Of Beneficiaries Age Less65 | 391 |
| Number Of Beneficiaries Age 65 to 74 | 651 |
| Number Of Beneficiaries Age 75 to 84 | 1148 |
| Number Of Beneficiaries Age Greater 84 | 1716 |
| Number Of Female Beneficiaries | 2529 |
| Number Of Male Beneficiaries | 1377 |
| Number Of Non Hispanic White Beneficiaries | 3208 |
| Number Of Black or African American Beneficiaries | 463 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 183 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1175 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2731 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 74 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 60 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 27 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 2.3868 |