| National Provider Identifier [NPI]: | 1528054343 |
| Last Name Of The Provider | WADINA |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 20 W KALEY ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | ORLANDO |
| Zip Code Of The Provider | 328062931 |
| 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 | 171 |
| Number Of Services | 6442 |
| Number Of Medicare Beneficiaries | 4023 |
| Total Submitted Charge Amount | 622382 |
| Total Medicare Allowed Amount | 176434.21 |
| Total Medicare Payment Amount | 131276.17 |
| Total Medicare Standardized Payment Amount | 131353.48 |
| 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 | 171 |
| Number Of Medical Services | 6442 |
| Number Of Medicare Beneficiaries With Medical Services | 4023 |
| Total Medical Submitted Charge Amount | 622382 |
| Total Medical Medicare Allowed Amount | 176434.21 |
| Total Medical Medicare Payment Amount | 131276.17 |
| Total Medical Medicare Standardized Payment Amount | 131353.48 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 717 |
| Number Of Beneficiaries Age 65 to 74 | 1339 |
| Number Of Beneficiaries Age 75 to 84 | 1241 |
| Number Of Beneficiaries Age Greater 84 | 726 |
| Number Of Female Beneficiaries | 2370 |
| Number Of Male Beneficiaries | 1653 |
| Number Of Non Hispanic White Beneficiaries | 2898 |
| Number Of Black or African American Beneficiaries | 554 |
| Number Of AsianPacific Islander Beneficiaries | 74 |
| Number Of Hispanic Beneficiaries | 446 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2809 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1214 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.1759 |