| National Provider Identifier [NPI]: | 1952345720 |
| Last Name Of The Provider | RAFFA |
| First Name Of The Provider | RALPH |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1825 SE TIFFANY AVE |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | PORT ST LUCIE |
| Zip Code Of The Provider | 349527554 |
| 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 | 182 |
| Number Of Services | 61463 |
| Number Of Medicare Beneficiaries | 3283 |
| Total Submitted Charge Amount | 2947035.07 |
| Total Medicare Allowed Amount | 1036624.33 |
| Total Medicare Payment Amount | 806118.14 |
| Total Medicare Standardized Payment Amount | 790197.41 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 55118 |
| Number Of Medicare Beneficiaries With Drug Services | 600 |
| Total Drug Submitted ChargeAmount | 35407.62 |
| Total Drug Medicare AllowedAmount | 15579.73 |
| Total Drug Medicare PaymentAmount | 11385.15 |
| Total Drug Medicare Standardized Payment Amount | 11385.15 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 176 |
| Number Of Medical Services | 6345 |
| Number Of Medicare Beneficiaries With Medical Services | 3283 |
| Total Medical Submitted Charge Amount | 2911627.45 |
| Total Medical Medicare Allowed Amount | 1021044.6 |
| Total Medical Medicare Payment Amount | 794732.99 |
| Total Medical Medicare Standardized Payment Amount | 778812.26 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 396 |
| Number Of Beneficiaries Age 65 to 74 | 1421 |
| Number Of Beneficiaries Age 75 to 84 | 1063 |
| Number Of Beneficiaries Age Greater 84 | 403 |
| Number Of Female Beneficiaries | 2185 |
| Number Of Male Beneficiaries | 1098 |
| Number Of Non Hispanic White Beneficiaries | 2706 |
| Number Of Black or African American Beneficiaries | 258 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 233 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 50 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2865 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 418 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3526 |