| National Provider Identifier [NPI]: | 1831175561 |
| Last Name Of The Provider | WHITE |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3430 TAMIAMI TRL |
| Street Address 2 Of The Provider | SUITE B |
| City Of The Provider | PORT CHARLOTTE |
| Zip Code Of The Provider | 339528127 |
| 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 | 231 |
| Number Of Services | 58319 |
| Number Of Medicare Beneficiaries | 5783 |
| Total Submitted Charge Amount | 3156333.83 |
| Total Medicare Allowed Amount | 1482771.65 |
| Total Medicare Payment Amount | 1142632.89 |
| Total Medicare Standardized Payment Amount | 1162573.51 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 49676 |
| Number Of Medicare Beneficiaries With Drug Services | 744 |
| Total Drug Submitted ChargeAmount | 26038.33 |
| Total Drug Medicare AllowedAmount | 13335.17 |
| Total Drug Medicare PaymentAmount | 10358.41 |
| Total Drug Medicare Standardized Payment Amount | 10358.41 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 223 |
| Number Of Medical Services | 8643 |
| Number Of Medicare Beneficiaries With Medical Services | 5782 |
| Total Medical Submitted Charge Amount | 3130295.5 |
| Total Medical Medicare Allowed Amount | 1469436.48 |
| Total Medical Medicare Payment Amount | 1132274.48 |
| Total Medical Medicare Standardized Payment Amount | 1152215.1 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 384 |
| Number Of Beneficiaries Age 65 to 74 | 2662 |
| Number Of Beneficiaries Age 75 to 84 | 2020 |
| Number Of Beneficiaries Age Greater 84 | 717 |
| Number Of Female Beneficiaries | 3367 |
| Number Of Male Beneficiaries | 2416 |
| Number Of Non Hispanic White Beneficiaries | 5444 |
| Number Of Black or African American Beneficiaries | 119 |
| Number Of AsianPacific Islander Beneficiaries | 25 |
| Number Of Hispanic Beneficiaries | 118 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 77 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5401 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 382 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.1247 |