| National Provider Identifier [NPI]: | 1225052285 |
| Last Name Of The Provider | CAMPBELL |
| First Name Of The Provider | ANDREW |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 151 NE 16TH AVE |
| Street Address 2 Of The Provider | #377 |
| City Of The Provider | FORT LAUDERDALE |
| Zip Code Of The Provider | 333013843 |
| 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 | 113 |
| Number Of Services | 6602 |
| Number Of Medicare Beneficiaries | 4259 |
| Total Submitted Charge Amount | 454997 |
| Total Medicare Allowed Amount | 123896.84 |
| Total Medicare Payment Amount | 96107.27 |
| Total Medicare Standardized Payment Amount | 92469.53 |
| 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 | 113 |
| Number Of Medical Services | 6602 |
| Number Of Medicare Beneficiaries With Medical Services | 4259 |
| Total Medical Submitted Charge Amount | 454997 |
| Total Medical Medicare Allowed Amount | 123896.84 |
| Total Medical Medicare Payment Amount | 96107.27 |
| Total Medical Medicare Standardized Payment Amount | 92469.53 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 684 |
| Number Of Beneficiaries Age 65 to 74 | 1191 |
| Number Of Beneficiaries Age 75 to 84 | 1201 |
| Number Of Beneficiaries Age Greater 84 | 1183 |
| Number Of Female Beneficiaries | 2459 |
| Number Of Male Beneficiaries | 1800 |
| Number Of Non Hispanic White Beneficiaries | 3102 |
| Number Of Black or African American Beneficiaries | 555 |
| Number Of AsianPacific Islander Beneficiaries | 41 |
| Number Of Hispanic Beneficiaries | 483 |
| Number Of American Indian Alaska Native Beneficiaries | 44 |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2542 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1717 |
| Percent Of With Atrial Fibrillation | 28 |
| Percent Of With Alzheimers Disease or Dementia | 42 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 58 |
| Percent Of With Chronic Kidney Disease | 59 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 45 |
| Percent Of With Depression | 43 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 17 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 2.7229 |