| National Provider Identifier [NPI]: | 1003812959 |
| Last Name Of The Provider | BISSET |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3725 11TH CR |
| Street Address 2 Of The Provider | |
| City Of The Provider | VERO BEACH |
| Zip Code Of The Provider | 329604804 |
| 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 | 287 |
| Number Of Services | 20023 |
| Number Of Medicare Beneficiaries | 5287 |
| Total Submitted Charge Amount | 1379702.17 |
| Total Medicare Allowed Amount | 661773.16 |
| Total Medicare Payment Amount | 519148.04 |
| Total Medicare Standardized Payment Amount | 504566.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 10677 |
| Number Of Medicare Beneficiaries With Drug Services | 190 |
| Total Drug Submitted ChargeAmount | 11425.24 |
| Total Drug Medicare AllowedAmount | 3496.58 |
| Total Drug Medicare PaymentAmount | 2741.36 |
| Total Drug Medicare Standardized Payment Amount | 2741.36 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 280 |
| Number Of Medical Services | 9346 |
| Number Of Medicare Beneficiaries With Medical Services | 5286 |
| Total Medical Submitted Charge Amount | 1368276.93 |
| Total Medical Medicare Allowed Amount | 658276.58 |
| Total Medical Medicare Payment Amount | 516406.68 |
| Total Medical Medicare Standardized Payment Amount | 501825.6 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 458 |
| Number Of Beneficiaries Age 65 to 74 | 1922 |
| Number Of Beneficiaries Age 75 to 84 | 1836 |
| Number Of Beneficiaries Age Greater 84 | 1071 |
| Number Of Female Beneficiaries | 3362 |
| Number Of Male Beneficiaries | 1925 |
| Number Of Non Hispanic White Beneficiaries | 4921 |
| Number Of Black or African American Beneficiaries | 198 |
| Number Of AsianPacific Islander Beneficiaries | 15 |
| Number Of Hispanic Beneficiaries | 107 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4633 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 654 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5012 |