| National Provider Identifier [NPI]: | 1457399743 |
| Last Name Of The Provider | BRANSDORF |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 400 CELEBRATION PL |
| Street Address 2 Of The Provider | SUITE A350 |
| City Of The Provider | CELEBRATION |
| Zip Code Of The Provider | 347474970 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 39 |
| Number Of Services | 4362 |
| Number Of Medicare Beneficiaries | 1288 |
| Total Submitted Charge Amount | 872999 |
| Total Medicare Allowed Amount | 362208.07 |
| Total Medicare Payment Amount | 265473.4 |
| Total Medicare Standardized Payment Amount | 268698.48 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 386 |
| Number Of Medicare Beneficiaries With Drug Services | 356 |
| Total Drug Submitted ChargeAmount | 34523 |
| Total Drug Medicare AllowedAmount | 13093.63 |
| Total Drug Medicare PaymentAmount | 12792.46 |
| Total Drug Medicare Standardized Payment Amount | 12792.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 32 |
| Number Of Medical Services | 3976 |
| Number Of Medicare Beneficiaries With Medical Services | 1288 |
| Total Medical Submitted Charge Amount | 838476 |
| Total Medical Medicare Allowed Amount | 349114.44 |
| Total Medical Medicare Payment Amount | 252680.94 |
| Total Medical Medicare Standardized Payment Amount | 255906.02 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 81 |
| Number Of Beneficiaries Age 65 to 74 | 735 |
| Number Of Beneficiaries Age 75 to 84 | 367 |
| Number Of Beneficiaries Age Greater 84 | 105 |
| Number Of Female Beneficiaries | 703 |
| Number Of Male Beneficiaries | 585 |
| Number Of Non Hispanic White Beneficiaries | 1117 |
| Number Of Black or African American Beneficiaries | 66 |
| Number Of AsianPacific Islander Beneficiaries | 14 |
| Number Of Hispanic Beneficiaries | 59 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1231 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 57 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0322 |