| National Provider Identifier [NPI]: | 1225098205 |
| Last Name Of The Provider | ANDERSON |
| First Name Of The Provider | SCOTT |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2700 UNIVERSITY SQUARE DRIVE |
| Street Address 2 Of The Provider | RADIOLOGY ASSOCIATES OF TAMPA |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336125513 |
| 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 | 209 |
| Number Of Services | 17998 |
| Number Of Medicare Beneficiaries | 4594 |
| Total Submitted Charge Amount | 1645492.55 |
| Total Medicare Allowed Amount | 475107.58 |
| Total Medicare Payment Amount | 360667.48 |
| Total Medicare Standardized Payment Amount | 374203.79 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 10993 |
| Number Of Medicare Beneficiaries With Drug Services | 184 |
| Total Drug Submitted ChargeAmount | 16143.55 |
| Total Drug Medicare AllowedAmount | 2992.33 |
| Total Drug Medicare PaymentAmount | 2228.7 |
| Total Drug Medicare Standardized Payment Amount | 2228.7 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 204 |
| Number Of Medical Services | 7005 |
| Number Of Medicare Beneficiaries With Medical Services | 4593 |
| Total Medical Submitted Charge Amount | 1629349 |
| Total Medical Medicare Allowed Amount | 472115.25 |
| Total Medical Medicare Payment Amount | 358438.78 |
| Total Medical Medicare Standardized Payment Amount | 371975.09 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 847 |
| Number Of Beneficiaries Age 65 to 74 | 1957 |
| Number Of Beneficiaries Age 75 to 84 | 1261 |
| Number Of Beneficiaries Age Greater 84 | 529 |
| Number Of Female Beneficiaries | 2900 |
| Number Of Male Beneficiaries | 1694 |
| Number Of Non Hispanic White Beneficiaries | 3533 |
| Number Of Black or African American Beneficiaries | 450 |
| Number Of AsianPacific Islander Beneficiaries | 77 |
| Number Of Hispanic Beneficiaries | 466 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3573 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1021 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.69 |