| National Provider Identifier [NPI]: | 1922080381 |
| Last Name Of The Provider | CAPECCI |
| First Name Of The Provider | LOUIS |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2 STONE HARBOR BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | CAPE MAY COURT HOUSE |
| Zip Code Of The Provider | 082102138 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 176 |
| Number Of Services | 31655 |
| Number Of Medicare Beneficiaries | 4885 |
| Total Submitted Charge Amount | 1597234.31 |
| Total Medicare Allowed Amount | 588464.09 |
| Total Medicare Payment Amount | 473555.97 |
| Total Medicare Standardized Payment Amount | 439565.17 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 21514 |
| Number Of Medicare Beneficiaries With Drug Services | 182 |
| Total Drug Submitted ChargeAmount | 7220.31 |
| Total Drug Medicare AllowedAmount | 3990.99 |
| Total Drug Medicare PaymentAmount | 3128.63 |
| Total Drug Medicare Standardized Payment Amount | 3128.63 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 173 |
| Number Of Medical Services | 10141 |
| Number Of Medicare Beneficiaries With Medical Services | 4885 |
| Total Medical Submitted Charge Amount | 1590014 |
| Total Medical Medicare Allowed Amount | 584473.1 |
| Total Medical Medicare Payment Amount | 470427.34 |
| Total Medical Medicare Standardized Payment Amount | 436436.54 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 669 |
| Number Of Beneficiaries Age 65 to 74 | 1937 |
| Number Of Beneficiaries Age 75 to 84 | 1519 |
| Number Of Beneficiaries Age Greater 84 | 760 |
| Number Of Female Beneficiaries | 2985 |
| Number Of Male Beneficiaries | 1900 |
| Number Of Non Hispanic White Beneficiaries | 4512 |
| Number Of Black or African American Beneficiaries | 211 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 98 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4060 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 825 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5194 |