| National Provider Identifier [NPI]: | 1275515751 |
| Last Name Of The Provider | RUBIN |
| First Name Of The Provider | JONATHAN |
| Middle Initial Of The Provider | I |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8900 N KENDALL DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | MIAMI |
| Zip Code Of The Provider | 331762118 |
| 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 | 93 |
| Number Of Services | 8238 |
| Number Of Medicare Beneficiaries | 2986 |
| Total Submitted Charge Amount | 1617777 |
| Total Medicare Allowed Amount | 172327.12 |
| Total Medicare Payment Amount | 133059.82 |
| Total Medicare Standardized Payment Amount | 125446.99 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 4651 |
| Number Of Medicare Beneficiaries With Drug Services | 61 |
| Total Drug Submitted ChargeAmount | 23255 |
| Total Drug Medicare AllowedAmount | 834.31 |
| Total Drug Medicare PaymentAmount | 653.84 |
| Total Drug Medicare Standardized Payment Amount | 653.84 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 92 |
| Number Of Medical Services | 3587 |
| Number Of Medicare Beneficiaries With Medical Services | 2986 |
| Total Medical Submitted Charge Amount | 1594522 |
| Total Medical Medicare Allowed Amount | 171492.81 |
| Total Medical Medicare Payment Amount | 132405.98 |
| Total Medical Medicare Standardized Payment Amount | 124793.15 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 365 |
| Number Of Beneficiaries Age 65 to 74 | 1042 |
| Number Of Beneficiaries Age 75 to 84 | 895 |
| Number Of Beneficiaries Age Greater 84 | 684 |
| Number Of Female Beneficiaries | 1952 |
| Number Of Male Beneficiaries | 1034 |
| Number Of Non Hispanic White Beneficiaries | 1021 |
| Number Of Black or African American Beneficiaries | 176 |
| Number Of AsianPacific Islander Beneficiaries | 24 |
| Number Of Hispanic Beneficiaries | 1741 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1464 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1522 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 29 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 41 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 19 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 60 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.0844 |