| National Provider Identifier [NPI]: | 1972501310 |
| Last Name Of The Provider | FARLEY |
| First Name Of The Provider | TIMOTHY |
| 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 | 601 E ROLLINS ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | ORLANDO |
| Zip Code Of The Provider | 328031248 |
| 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 | 153 |
| Number Of Services | 12985 |
| Number Of Medicare Beneficiaries | 4860 |
| Total Submitted Charge Amount | 626058.69 |
| Total Medicare Allowed Amount | 213259.52 |
| Total Medicare Payment Amount | 161721.65 |
| Total Medicare Standardized Payment Amount | 163093.58 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 4670 |
| Number Of Medicare Beneficiaries With Drug Services | 57 |
| Total Drug Submitted ChargeAmount | 2953.59 |
| Total Drug Medicare AllowedAmount | 1635.72 |
| Total Drug Medicare PaymentAmount | 1276.39 |
| Total Drug Medicare Standardized Payment Amount | 1276.39 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 151 |
| Number Of Medical Services | 8315 |
| Number Of Medicare Beneficiaries With Medical Services | 4860 |
| Total Medical Submitted Charge Amount | 623105.1 |
| Total Medical Medicare Allowed Amount | 211623.8 |
| Total Medical Medicare Payment Amount | 160445.26 |
| Total Medical Medicare Standardized Payment Amount | 161817.19 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 709 |
| Number Of Beneficiaries Age 65 to 74 | 1853 |
| Number Of Beneficiaries Age 75 to 84 | 1484 |
| Number Of Beneficiaries Age Greater 84 | 814 |
| Number Of Female Beneficiaries | 3069 |
| Number Of Male Beneficiaries | 1791 |
| Number Of Non Hispanic White Beneficiaries | 3675 |
| Number Of Black or African American Beneficiaries | 481 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 570 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 68 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3766 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1094 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 23 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.1103 |