| National Provider Identifier [NPI]: | 1780601344 |
| Last Name Of The Provider | KALTMAN |
| First Name Of The Provider | SCOTT |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3599 UNIVERSITY BLVD S |
| Street Address 2 Of The Provider | BUILDING 300 |
| City Of The Provider | JACKSONVILLE |
| Zip Code Of The Provider | 322164252 |
| 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 | 174 |
| Number Of Services | 8531 |
| Number Of Medicare Beneficiaries | 6140 |
| Total Submitted Charge Amount | 901034 |
| Total Medicare Allowed Amount | 219795.32 |
| Total Medicare Payment Amount | 168291.67 |
| Total Medicare Standardized Payment Amount | 168411.69 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 174 |
| Number Of Medical Services | 8531 |
| Number Of Medicare Beneficiaries With Medical Services | 6140 |
| Total Medical Submitted Charge Amount | 901034 |
| Total Medical Medicare Allowed Amount | 219795.32 |
| Total Medical Medicare Payment Amount | 168291.67 |
| Total Medical Medicare Standardized Payment Amount | 168411.69 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1147 |
| Number Of Beneficiaries Age 65 to 74 | 2345 |
| Number Of Beneficiaries Age 75 to 84 | 1728 |
| Number Of Beneficiaries Age Greater 84 | 920 |
| Number Of Female Beneficiaries | 3818 |
| Number Of Male Beneficiaries | 2322 |
| Number Of Non Hispanic White Beneficiaries | 4887 |
| Number Of Black or African American Beneficiaries | 925 |
| Number Of AsianPacific Islander Beneficiaries | 81 |
| Number Of Hispanic Beneficiaries | 178 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4658 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1482 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9323 |