| National Provider Identifier [NPI]: | 1700082211 |
| Last Name Of The Provider | CHRISTIAN |
| First Name Of The Provider | GARRISON |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 635 1ST ST N |
| Street Address 2 Of The Provider | |
| City Of The Provider | WINTER HAVEN |
| Zip Code Of The Provider | 338814129 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 270 |
| Number Of Services | 20954 |
| Number Of Medicare Beneficiaries | 708 |
| Total Submitted Charge Amount | 953684.8 |
| Total Medicare Allowed Amount | 492870.55 |
| Total Medicare Payment Amount | 379283.85 |
| Total Medicare Standardized Payment Amount | 384678.33 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 27 |
| Number Of Drug Services | 9687 |
| Number Of Medicare Beneficiaries With Drug Services | 312 |
| Total Drug Submitted ChargeAmount | 85257 |
| Total Drug Medicare AllowedAmount | 37586.72 |
| Total Drug Medicare PaymentAmount | 30896.67 |
| Total Drug Medicare Standardized Payment Amount | 30896.67 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 243 |
| Number Of Medical Services | 11267 |
| Number Of Medicare Beneficiaries With Medical Services | 708 |
| Total Medical Submitted Charge Amount | 868427.8 |
| Total Medical Medicare Allowed Amount | 455283.83 |
| Total Medical Medicare Payment Amount | 348387.18 |
| Total Medical Medicare Standardized Payment Amount | 353781.66 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 86 |
| Number Of Beneficiaries Age 65 to 74 | 272 |
| Number Of Beneficiaries Age 75 to 84 | 220 |
| Number Of Beneficiaries Age Greater 84 | 130 |
| Number Of Female Beneficiaries | 424 |
| Number Of Male Beneficiaries | 284 |
| Number Of Non Hispanic White Beneficiaries | 627 |
| Number Of Black or African American Beneficiaries | 55 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 612 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 96 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.2862 |