| National Provider Identifier [NPI]: | 1699733998 |
| Last Name Of The Provider | ANIDJAR |
| First Name Of The Provider | SIMI |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 20900 BISCAYNE BLVD |
| Street Address 2 Of The Provider | AVENTURA HOSPITAL & MEDICAL CENTER |
| City Of The Provider | AVENTURA |
| Zip Code Of The Provider | 33180 |
| 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 | 192 |
| Number Of Services | 7672 |
| Number Of Medicare Beneficiaries | 4312 |
| Total Submitted Charge Amount | 1204410 |
| Total Medicare Allowed Amount | 200654.95 |
| Total Medicare Payment Amount | 152134.19 |
| Total Medicare Standardized Payment Amount | 143074.55 |
| 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 | 192 |
| Number Of Medical Services | 7672 |
| Number Of Medicare Beneficiaries With Medical Services | 4312 |
| Total Medical Submitted Charge Amount | 1204410 |
| Total Medical Medicare Allowed Amount | 200654.95 |
| Total Medical Medicare Payment Amount | 152134.19 |
| Total Medical Medicare Standardized Payment Amount | 143074.55 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 668 |
| Number Of Beneficiaries Age 65 to 74 | 1114 |
| Number Of Beneficiaries Age 75 to 84 | 1228 |
| Number Of Beneficiaries Age Greater 84 | 1302 |
| Number Of Female Beneficiaries | 2511 |
| Number Of Male Beneficiaries | 1801 |
| Number Of Non Hispanic White Beneficiaries | 2837 |
| Number Of Black or African American Beneficiaries | 772 |
| Number Of AsianPacific Islander Beneficiaries | 55 |
| Number Of Hispanic Beneficiaries | 594 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2717 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1595 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 32 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 46 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 51 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 70 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 13 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 2.3856 |