| National Provider Identifier [NPI]: | 1386755833 |
| Last Name Of The Provider | HESH |
| First Name Of The Provider | MATTHEW |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| 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 | 139 |
| Number Of Services | 18303 |
| Number Of Medicare Beneficiaries | 4114 |
| Total Submitted Charge Amount | 730564.85 |
| Total Medicare Allowed Amount | 240810.62 |
| Total Medicare Payment Amount | 181373.87 |
| Total Medicare Standardized Payment Amount | 187547.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 12905 |
| Number Of Medicare Beneficiaries With Drug Services | 111 |
| Total Drug Submitted ChargeAmount | 6495.37 |
| Total Drug Medicare AllowedAmount | 3142.17 |
| Total Drug Medicare PaymentAmount | 2463.15 |
| Total Drug Medicare Standardized Payment Amount | 2463.15 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 136 |
| Number Of Medical Services | 5398 |
| Number Of Medicare Beneficiaries With Medical Services | 4107 |
| Total Medical Submitted Charge Amount | 724069.48 |
| Total Medical Medicare Allowed Amount | 237668.45 |
| Total Medical Medicare Payment Amount | 178910.72 |
| Total Medical Medicare Standardized Payment Amount | 185084.81 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 719 |
| Number Of Beneficiaries Age 65 to 74 | 1360 |
| Number Of Beneficiaries Age 75 to 84 | 1249 |
| Number Of Beneficiaries Age Greater 84 | 786 |
| Number Of Female Beneficiaries | 2307 |
| Number Of Male Beneficiaries | 1807 |
| Number Of Non Hispanic White Beneficiaries | 2969 |
| Number Of Black or African American Beneficiaries | 459 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 561 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 68 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3005 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1109 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 23 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 51 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.3845 |