| National Provider Identifier [NPI]: | 1932120359 |
| Last Name Of The Provider | FIELDS |
| First Name Of The Provider | MARCUS |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3599 UNIVERSITY BLVD S |
| Street Address 2 Of The Provider | BUILDING 300 |
| City Of The Provider | JACKSONVILLE |
| Zip Code Of The Provider | 322164252 |
| 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 | 178 |
| Number Of Services | 9010 |
| Number Of Medicare Beneficiaries | 6230 |
| Total Submitted Charge Amount | 979244 |
| Total Medicare Allowed Amount | 237527.79 |
| Total Medicare Payment Amount | 182424.34 |
| Total Medicare Standardized Payment Amount | 183163.97 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 178 |
| Number Of Medical Services | 9010 |
| Number Of Medicare Beneficiaries With Medical Services | 6230 |
| Total Medical Submitted Charge Amount | 979244 |
| Total Medical Medicare Allowed Amount | 237527.79 |
| Total Medical Medicare Payment Amount | 182424.34 |
| Total Medical Medicare Standardized Payment Amount | 183163.97 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 733 |
| Number Of Beneficiaries Age 65 to 74 | 2545 |
| Number Of Beneficiaries Age 75 to 84 | 1889 |
| Number Of Beneficiaries Age Greater 84 | 1063 |
| Number Of Female Beneficiaries | 3934 |
| Number Of Male Beneficiaries | 2296 |
| Number Of Non Hispanic White Beneficiaries | 5345 |
| Number Of Black or African American Beneficiaries | 553 |
| Number Of AsianPacific Islander Beneficiaries | 81 |
| Number Of Hispanic Beneficiaries | 166 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 5198 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1032 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.7445 |