| National Provider Identifier [NPI]: | 1386757631 |
| Last Name Of The Provider | HELLEIN |
| First Name Of The Provider | VASHTI |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1000 W MORENO ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | PENSACOLA |
| Zip Code Of The Provider | 325012316 |
| 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 | 210 |
| Number Of Services | 9164 |
| Number Of Medicare Beneficiaries | 5568 |
| Total Submitted Charge Amount | 725709.36 |
| Total Medicare Allowed Amount | 255699.31 |
| Total Medicare Payment Amount | 197009.12 |
| Total Medicare Standardized Payment Amount | 200794.83 |
| 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 | 210 |
| Number Of Medical Services | 9164 |
| Number Of Medicare Beneficiaries With Medical Services | 5568 |
| Total Medical Submitted Charge Amount | 725709.36 |
| Total Medical Medicare Allowed Amount | 255699.31 |
| Total Medical Medicare Payment Amount | 197009.12 |
| Total Medical Medicare Standardized Payment Amount | 200794.83 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1155 |
| Number Of Beneficiaries Age 65 to 74 | 2097 |
| Number Of Beneficiaries Age 75 to 84 | 1605 |
| Number Of Beneficiaries Age Greater 84 | 711 |
| Number Of Female Beneficiaries | 3562 |
| Number Of Male Beneficiaries | 2006 |
| Number Of Non Hispanic White Beneficiaries | 4380 |
| Number Of Black or African American Beneficiaries | 1015 |
| Number Of AsianPacific Islander Beneficiaries | 35 |
| Number Of Hispanic Beneficiaries | 74 |
| Number Of American Indian Alaska Native Beneficiaries | 26 |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4041 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1527 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4931 |