| National Provider Identifier [NPI]: | 1407846603 |
| Last Name Of The Provider | KRUPA |
| First Name Of The Provider | ROBERT |
| 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 | 1106 DRUID RD S |
| Street Address 2 Of The Provider | SUITE 302 |
| City Of The Provider | CLEARWATER |
| Zip Code Of The Provider | 337563846 |
| 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 | 123 |
| Number Of Services | 32176 |
| Number Of Medicare Beneficiaries | 9506 |
| Total Submitted Charge Amount | 2514690.99 |
| Total Medicare Allowed Amount | 766065.84 |
| Total Medicare Payment Amount | 592221.66 |
| Total Medicare Standardized Payment Amount | 608663.98 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 19256 |
| Number Of Medicare Beneficiaries With Drug Services | 210 |
| Total Drug Submitted ChargeAmount | 57768 |
| Total Drug Medicare AllowedAmount | 3622.52 |
| Total Drug Medicare PaymentAmount | 2787.22 |
| Total Drug Medicare Standardized Payment Amount | 2787.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 121 |
| Number Of Medical Services | 12920 |
| Number Of Medicare Beneficiaries With Medical Services | 9505 |
| Total Medical Submitted Charge Amount | 2456922.99 |
| Total Medical Medicare Allowed Amount | 762443.32 |
| Total Medical Medicare Payment Amount | 589434.44 |
| Total Medical Medicare Standardized Payment Amount | 605876.76 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 728 |
| Number Of Beneficiaries Age 65 to 74 | 4100 |
| Number Of Beneficiaries Age 75 to 84 | 3226 |
| Number Of Beneficiaries Age Greater 84 | 1452 |
| Number Of Female Beneficiaries | 6291 |
| Number Of Male Beneficiaries | 3215 |
| Number Of Non Hispanic White Beneficiaries | 8835 |
| Number Of Black or African American Beneficiaries | 121 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 307 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 125 |
| Number Of Beneficiaries With Medicare Only Entitlement | 8665 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 841 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2498 |