| National Provider Identifier [NPI]: | 1710913546 |
| Last Name Of The Provider | CHARLES |
| First Name Of The Provider | JOSEPH |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1825 SE TIFFANY AVE |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | PORT ST LUCIE |
| Zip Code Of The Provider | 349527554 |
| 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 | 196 |
| Number Of Services | 56452 |
| Number Of Medicare Beneficiaries | 4187 |
| Total Submitted Charge Amount | 2778623.86 |
| Total Medicare Allowed Amount | 924970.33 |
| Total Medicare Payment Amount | 718585.45 |
| Total Medicare Standardized Payment Amount | 699839.19 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 49521 |
| Number Of Medicare Beneficiaries With Drug Services | 646 |
| Total Drug Submitted ChargeAmount | 38035.12 |
| Total Drug Medicare AllowedAmount | 15746.65 |
| Total Drug Medicare PaymentAmount | 11555.29 |
| Total Drug Medicare Standardized Payment Amount | 11555.29 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 191 |
| Number Of Medical Services | 6931 |
| Number Of Medicare Beneficiaries With Medical Services | 4185 |
| Total Medical Submitted Charge Amount | 2740588.74 |
| Total Medical Medicare Allowed Amount | 909223.68 |
| Total Medical Medicare Payment Amount | 707030.16 |
| Total Medical Medicare Standardized Payment Amount | 688283.9 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 537 |
| Number Of Beneficiaries Age 65 to 74 | 1762 |
| Number Of Beneficiaries Age 75 to 84 | 1395 |
| Number Of Beneficiaries Age Greater 84 | 493 |
| Number Of Female Beneficiaries | 2683 |
| Number Of Male Beneficiaries | 1504 |
| Number Of Non Hispanic White Beneficiaries | 3522 |
| Number Of Black or African American Beneficiaries | 363 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 227 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3553 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 634 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3559 |