| National Provider Identifier [NPI]: | 1598719197 |
| Last Name Of The Provider | NEGIN |
| First Name Of The Provider | GEOFFREY |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 63 BARKLEY CIR |
| Street Address 2 Of The Provider | STE. 100 & 101 |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339074514 |
| 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 | 264 |
| Number Of Services | 42467 |
| Number Of Medicare Beneficiaries | 9490 |
| Total Submitted Charge Amount | 2100678.92 |
| Total Medicare Allowed Amount | 874663.26 |
| Total Medicare Payment Amount | 678554.92 |
| Total Medicare Standardized Payment Amount | 655768.94 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 27496 |
| Number Of Medicare Beneficiaries With Drug Services | 359 |
| Total Drug Submitted ChargeAmount | 124414.04 |
| Total Drug Medicare AllowedAmount | 11105.95 |
| Total Drug Medicare PaymentAmount | 8696.29 |
| Total Drug Medicare Standardized Payment Amount | 8696.29 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 256 |
| Number Of Medical Services | 14971 |
| Number Of Medicare Beneficiaries With Medical Services | 9485 |
| Total Medical Submitted Charge Amount | 1976264.88 |
| Total Medical Medicare Allowed Amount | 863557.31 |
| Total Medical Medicare Payment Amount | 669858.63 |
| Total Medical Medicare Standardized Payment Amount | 647072.65 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 1077 |
| Number Of Beneficiaries Age 65 to 74 | 3269 |
| Number Of Beneficiaries Age 75 to 84 | 3156 |
| Number Of Beneficiaries Age Greater 84 | 1988 |
| Number Of Female Beneficiaries | 5326 |
| Number Of Male Beneficiaries | 4164 |
| Number Of Non Hispanic White Beneficiaries | 8597 |
| Number Of Black or African American Beneficiaries | 297 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 441 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 98 |
| Number Of Beneficiaries With Medicare Only Entitlement | 7987 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1503 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.4994 |