| National Provider Identifier [NPI]: | 1508863549 |
| Last Name Of The Provider | LANGMO |
| First Name Of The Provider | LISA |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 601 E ROLLINS ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | ORLANDO |
| Zip Code Of The Provider | 328031248 |
| 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 | 70 |
| Number Of Services | 8796 |
| Number Of Medicare Beneficiaries | 4208 |
| Total Submitted Charge Amount | 430438.57 |
| Total Medicare Allowed Amount | 155989.76 |
| Total Medicare Payment Amount | 115684.71 |
| Total Medicare Standardized Payment Amount | 117500.55 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2451 |
| Number Of Medicare Beneficiaries With Drug Services | 24 |
| Total Drug Submitted ChargeAmount | 1205.62 |
| Total Drug Medicare AllowedAmount | 578.37 |
| Total Drug Medicare PaymentAmount | 453.4 |
| Total Drug Medicare Standardized Payment Amount | 453.4 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 68 |
| Number Of Medical Services | 6345 |
| Number Of Medicare Beneficiaries With Medical Services | 4208 |
| Total Medical Submitted Charge Amount | 429232.95 |
| Total Medical Medicare Allowed Amount | 155411.39 |
| Total Medical Medicare Payment Amount | 115231.31 |
| Total Medical Medicare Standardized Payment Amount | 117047.15 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 691 |
| Number Of Beneficiaries Age 65 to 74 | 1416 |
| Number Of Beneficiaries Age 75 to 84 | 1295 |
| Number Of Beneficiaries Age Greater 84 | 806 |
| Number Of Female Beneficiaries | 2519 |
| Number Of Male Beneficiaries | 1689 |
| Number Of Non Hispanic White Beneficiaries | 3071 |
| Number Of Black or African American Beneficiaries | 450 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 559 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 75 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3107 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1101 |
| Percent Of With Atrial Fibrillation | 29 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 23 |
| Percent Of With Heart Failure | 47 |
| Percent Of With Chronic Kidney Disease | 53 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 64 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.3882 |