| National Provider Identifier [NPI]: | 1386641868 |
| Last Name Of The Provider | PUSKAR |
| First Name Of The Provider | GEORGE |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3725 11TH CR |
| Street Address 2 Of The Provider | |
| City Of The Provider | VERO BEACH |
| Zip Code Of The Provider | 329604804 |
| 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 | 258 |
| Number Of Services | 19805 |
| Number Of Medicare Beneficiaries | 5322 |
| Total Submitted Charge Amount | 1532401.74 |
| Total Medicare Allowed Amount | 683827.7 |
| Total Medicare Payment Amount | 538735.32 |
| Total Medicare Standardized Payment Amount | 524749.77 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 10772 |
| Number Of Medicare Beneficiaries With Drug Services | 210 |
| Total Drug Submitted ChargeAmount | 14935.24 |
| Total Drug Medicare AllowedAmount | 3674.2 |
| Total Drug Medicare PaymentAmount | 2880.71 |
| Total Drug Medicare Standardized Payment Amount | 2880.71 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 253 |
| Number Of Medical Services | 9033 |
| Number Of Medicare Beneficiaries With Medical Services | 5321 |
| Total Medical Submitted Charge Amount | 1517466.5 |
| Total Medical Medicare Allowed Amount | 680153.5 |
| Total Medical Medicare Payment Amount | 535854.61 |
| Total Medical Medicare Standardized Payment Amount | 521869.06 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 482 |
| Number Of Beneficiaries Age 65 to 74 | 1897 |
| Number Of Beneficiaries Age 75 to 84 | 1854 |
| Number Of Beneficiaries Age Greater 84 | 1089 |
| Number Of Female Beneficiaries | 3315 |
| Number Of Male Beneficiaries | 2007 |
| Number Of Non Hispanic White Beneficiaries | 4952 |
| Number Of Black or African American Beneficiaries | 198 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 106 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4629 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 693 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5103 |