| National Provider Identifier [NPI]: | 1790760734 |
| Last Name Of The Provider | THAME |
| First Name Of The Provider | CRAIG |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5352 LINTON BLVD |
| Street Address 2 Of The Provider | ATTN: RADIOLOGY DEPT |
| City Of The Provider | DELRAY BEACH |
| Zip Code Of The Provider | 334846514 |
| 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 | 118 |
| Number Of Services | 8322 |
| Number Of Medicare Beneficiaries | 3890 |
| Total Submitted Charge Amount | 1364815 |
| Total Medicare Allowed Amount | 216644.13 |
| Total Medicare Payment Amount | 165006.21 |
| Total Medicare Standardized Payment Amount | 159280.82 |
| 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 | 118 |
| Number Of Medical Services | 8322 |
| Number Of Medicare Beneficiaries With Medical Services | 3890 |
| Total Medical Submitted Charge Amount | 1364815 |
| Total Medical Medicare Allowed Amount | 216644.13 |
| Total Medical Medicare Payment Amount | 165006.21 |
| Total Medical Medicare Standardized Payment Amount | 159280.82 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 487 |
| Number Of Beneficiaries Age 65 to 74 | 792 |
| Number Of Beneficiaries Age 75 to 84 | 1167 |
| Number Of Beneficiaries Age Greater 84 | 1444 |
| Number Of Female Beneficiaries | 2075 |
| Number Of Male Beneficiaries | 1815 |
| Number Of Non Hispanic White Beneficiaries | 3246 |
| Number Of Black or African American Beneficiaries | 417 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 164 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3028 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 862 |
| Percent Of With Atrial Fibrillation | 32 |
| Percent Of With Alzheimers Disease or Dementia | 32 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 46 |
| Percent Of With Chronic Kidney Disease | 50 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 68 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 19 |
| Average HCC Risk Score Of Beneficiaries | 2.2013 |