| National Provider Identifier [NPI]: | 1831192954 |
| Last Name Of The Provider | MAIZEL |
| First Name Of The Provider | RAOUL |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 17560 HIGHWAY 441 |
| Street Address 2 Of The Provider | |
| City Of The Provider | MOUNT DORA |
| Zip Code Of The Provider | 327576711 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 51 |
| Number Of Services | 25915 |
| Number Of Medicare Beneficiaries | 3501 |
| Total Submitted Charge Amount | 4197334.98 |
| Total Medicare Allowed Amount | 3684998.87 |
| Total Medicare Payment Amount | 2808177.92 |
| Total Medicare Standardized Payment Amount | 2822203.21 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 3401 |
| Number Of Medicare Beneficiaries With Drug Services | 361 |
| Total Drug Submitted ChargeAmount | 1641738.56 |
| Total Drug Medicare AllowedAmount | 1560586.84 |
| Total Drug Medicare PaymentAmount | 1218859.51 |
| Total Drug Medicare Standardized Payment Amount | 1218859.51 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 42 |
| Number Of Medical Services | 22514 |
| Number Of Medicare Beneficiaries With Medical Services | 3501 |
| Total Medical Submitted Charge Amount | 2555596.42 |
| Total Medical Medicare Allowed Amount | 2124412.03 |
| Total Medical Medicare Payment Amount | 1589318.41 |
| Total Medical Medicare Standardized Payment Amount | 1603343.7 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 75 |
| Number Of Beneficiaries Age 65 to 74 | 1107 |
| Number Of Beneficiaries Age 75 to 84 | 1496 |
| Number Of Beneficiaries Age Greater 84 | 823 |
| Number Of Female Beneficiaries | 1995 |
| Number Of Male Beneficiaries | 1506 |
| Number Of Non Hispanic White Beneficiaries | 3326 |
| Number Of Black or African American Beneficiaries | 66 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 75 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3334 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 167 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2845 |