| National Provider Identifier [NPI]: | 1376525600 |
| Last Name Of The Provider | NADOLNY |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1223 GATEWAY DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | MELBOURNE |
| Zip Code Of The Provider | 329012607 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 93 |
| Number Of Services | 11394 |
| Number Of Medicare Beneficiaries | 4570 |
| Total Submitted Charge Amount | 593282 |
| Total Medicare Allowed Amount | 291000.23 |
| Total Medicare Payment Amount | 220834.59 |
| Total Medicare Standardized Payment Amount | 222876.86 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 105 |
| Number Of Medicare Beneficiaries With Drug Services | 94 |
| Total Drug Submitted ChargeAmount | 8795 |
| Total Drug Medicare AllowedAmount | 5106.01 |
| Total Drug Medicare PaymentAmount | 5000.81 |
| Total Drug Medicare Standardized Payment Amount | 5000.81 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 87 |
| Number Of Medical Services | 11289 |
| Number Of Medicare Beneficiaries With Medical Services | 4570 |
| Total Medical Submitted Charge Amount | 584487 |
| Total Medical Medicare Allowed Amount | 285894.22 |
| Total Medical Medicare Payment Amount | 215833.78 |
| Total Medical Medicare Standardized Payment Amount | 217876.05 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 551 |
| Number Of Beneficiaries Age 65 to 74 | 1679 |
| Number Of Beneficiaries Age 75 to 84 | 1513 |
| Number Of Beneficiaries Age Greater 84 | 827 |
| Number Of Female Beneficiaries | 2437 |
| Number Of Male Beneficiaries | 2133 |
| Number Of Non Hispanic White Beneficiaries | 3948 |
| Number Of Black or African American Beneficiaries | 311 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 207 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 52 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3823 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 747 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6993 |