| National Provider Identifier [NPI]: | 1619166675 |
| Last Name Of The Provider | MARCUM |
| First Name Of The Provider | KEVIN |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1200 7TH AVENUE NORTH |
| Street Address 2 Of The Provider | |
| City Of The Provider | ST. PETERSBURG |
| Zip Code Of The Provider | 337051300 |
| 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 | 176 |
| Number Of Services | 25875 |
| Number Of Medicare Beneficiaries | 3726 |
| Total Submitted Charge Amount | 1537744.95 |
| Total Medicare Allowed Amount | 467842.85 |
| Total Medicare Payment Amount | 361902.83 |
| Total Medicare Standardized Payment Amount | 371008.57 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 19610 |
| Number Of Medicare Beneficiaries With Drug Services | 205 |
| Total Drug Submitted ChargeAmount | 42951.2 |
| Total Drug Medicare AllowedAmount | 5313.02 |
| Total Drug Medicare PaymentAmount | 4165.29 |
| Total Drug Medicare Standardized Payment Amount | 4165.29 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 174 |
| Number Of Medical Services | 6265 |
| Number Of Medicare Beneficiaries With Medical Services | 3725 |
| Total Medical Submitted Charge Amount | 1494793.75 |
| Total Medical Medicare Allowed Amount | 462529.83 |
| Total Medical Medicare Payment Amount | 357737.54 |
| Total Medical Medicare Standardized Payment Amount | 366843.28 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 693 |
| Number Of Beneficiaries Age 65 to 74 | 1226 |
| Number Of Beneficiaries Age 75 to 84 | 1074 |
| Number Of Beneficiaries Age Greater 84 | 733 |
| Number Of Female Beneficiaries | 2270 |
| Number Of Male Beneficiaries | 1456 |
| Number Of Non Hispanic White Beneficiaries | 3021 |
| Number Of Black or African American Beneficiaries | 516 |
| Number Of AsianPacific Islander Beneficiaries | 41 |
| Number Of Hispanic Beneficiaries | 113 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2651 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1075 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.0045 |