| National Provider Identifier [NPI]: | 1972577856 |
| Last Name Of The Provider | DEYOE |
| First Name Of The Provider | LANE |
| 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 | 2815 S SEACREST BLVD |
| Street Address 2 Of The Provider | ATTENTION: BETSY COX |
| City Of The Provider | BOYNTON BEACH |
| Zip Code Of The Provider | 334357934 |
| 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 | 287 |
| Number Of Services | 11664 |
| Number Of Medicare Beneficiaries | 3690 |
| Total Submitted Charge Amount | 1219432.75 |
| Total Medicare Allowed Amount | 344113.92 |
| Total Medicare Payment Amount | 266174.98 |
| Total Medicare Standardized Payment Amount | 260836.7 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 4966 |
| Number Of Medicare Beneficiaries With Drug Services | 53 |
| Total Drug Submitted ChargeAmount | 8745.75 |
| Total Drug Medicare AllowedAmount | 1088.84 |
| Total Drug Medicare PaymentAmount | 853.62 |
| Total Drug Medicare Standardized Payment Amount | 853.62 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 285 |
| Number Of Medical Services | 6698 |
| Number Of Medicare Beneficiaries With Medical Services | 3690 |
| Total Medical Submitted Charge Amount | 1210687 |
| Total Medical Medicare Allowed Amount | 343025.08 |
| Total Medical Medicare Payment Amount | 265321.36 |
| Total Medical Medicare Standardized Payment Amount | 259983.08 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 323 |
| Number Of Beneficiaries Age 65 to 74 | 887 |
| Number Of Beneficiaries Age 75 to 84 | 1306 |
| Number Of Beneficiaries Age Greater 84 | 1174 |
| Number Of Female Beneficiaries | 2053 |
| Number Of Male Beneficiaries | 1637 |
| Number Of Non Hispanic White Beneficiaries | 3193 |
| Number Of Black or African American Beneficiaries | 269 |
| Number Of AsianPacific Islander Beneficiaries | 24 |
| Number Of Hispanic Beneficiaries | 162 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3092 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 598 |
| Percent Of With Atrial Fibrillation | 29 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.2279 |