| National Provider Identifier [NPI]: | 1447240783 |
| Last Name Of The Provider | HEINKE |
| First Name Of The Provider | LOWELL |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | M. D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1106 DRUID RD S |
| Street Address 2 Of The Provider | SUITE 302 |
| City Of The Provider | CLEARWATER |
| Zip Code Of The Provider | 337563846 |
| 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 | 200 |
| Number Of Services | 15344 |
| Number Of Medicare Beneficiaries | 4194 |
| Total Submitted Charge Amount | 1201036.2 |
| Total Medicare Allowed Amount | 272412.29 |
| Total Medicare Payment Amount | 211861.82 |
| Total Medicare Standardized Payment Amount | 214466.83 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 8395 |
| Number Of Medicare Beneficiaries With Drug Services | 92 |
| Total Drug Submitted ChargeAmount | 19641.2 |
| Total Drug Medicare AllowedAmount | 2130.41 |
| Total Drug Medicare PaymentAmount | 1615.46 |
| Total Drug Medicare Standardized Payment Amount | 1615.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 198 |
| Number Of Medical Services | 6949 |
| Number Of Medicare Beneficiaries With Medical Services | 4193 |
| Total Medical Submitted Charge Amount | 1181395 |
| Total Medical Medicare Allowed Amount | 270281.88 |
| Total Medical Medicare Payment Amount | 210246.36 |
| Total Medical Medicare Standardized Payment Amount | 212851.37 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 525 |
| Number Of Beneficiaries Age 65 to 74 | 1247 |
| Number Of Beneficiaries Age 75 to 84 | 1364 |
| Number Of Beneficiaries Age Greater 84 | 1058 |
| Number Of Female Beneficiaries | 2650 |
| Number Of Male Beneficiaries | 1544 |
| Number Of Non Hispanic White Beneficiaries | 3884 |
| Number Of Black or African American Beneficiaries | 102 |
| Number Of AsianPacific Islander Beneficiaries | 28 |
| Number Of Hispanic Beneficiaries | 126 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3280 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 914 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 18 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.9218 |