| National Provider Identifier [NPI]: | 1295709152 |
| Last Name Of The Provider | EDELSTEIN |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2815 S SEACREST BLVD |
| Street Address 2 Of The Provider | ATTENTION: BETSY COX |
| City Of The Provider | BOYNTON BEACH |
| Zip Code Of The Provider | 334357934 |
| 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 | 286 |
| Number Of Services | 8277 |
| Number Of Medicare Beneficiaries | 3086 |
| Total Submitted Charge Amount | 1005328.25 |
| Total Medicare Allowed Amount | 300320.6 |
| Total Medicare Payment Amount | 234676.99 |
| Total Medicare Standardized Payment Amount | 227276.47 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2485 |
| Number Of Medicare Beneficiaries With Drug Services | 30 |
| Total Drug Submitted ChargeAmount | 5423.25 |
| Total Drug Medicare AllowedAmount | 608.97 |
| Total Drug Medicare PaymentAmount | 477.41 |
| Total Drug Medicare Standardized Payment Amount | 477.41 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 284 |
| Number Of Medical Services | 5792 |
| Number Of Medicare Beneficiaries With Medical Services | 3086 |
| Total Medical Submitted Charge Amount | 999905 |
| Total Medical Medicare Allowed Amount | 299711.63 |
| Total Medical Medicare Payment Amount | 234199.58 |
| Total Medical Medicare Standardized Payment Amount | 226799.06 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 246 |
| Number Of Beneficiaries Age 65 to 74 | 764 |
| Number Of Beneficiaries Age 75 to 84 | 1105 |
| Number Of Beneficiaries Age Greater 84 | 971 |
| Number Of Female Beneficiaries | 1700 |
| Number Of Male Beneficiaries | 1386 |
| Number Of Non Hispanic White Beneficiaries | 2700 |
| Number Of Black or African American Beneficiaries | 217 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 121 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2590 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 496 |
| Percent Of With Atrial Fibrillation | 29 |
| Percent Of With Alzheimers Disease or Dementia | 27 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 49 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.2416 |