| National Provider Identifier [NPI]: | 1457513152 |
| Last Name Of The Provider | GARRISON |
| First Name Of The Provider | STEPHEN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 502 W HIGHLAND BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | INVERNESS |
| Zip Code Of The Provider | 344524720 |
| 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 | 197 |
| Number Of Services | 16626 |
| Number Of Medicare Beneficiaries | 3294 |
| Total Submitted Charge Amount | 679914.71 |
| Total Medicare Allowed Amount | 222255.53 |
| Total Medicare Payment Amount | 175532.93 |
| Total Medicare Standardized Payment Amount | 180054.53 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 10732 |
| Number Of Medicare Beneficiaries With Drug Services | 71 |
| Total Drug Submitted ChargeAmount | 8888.03 |
| Total Drug Medicare AllowedAmount | 5607.39 |
| Total Drug Medicare PaymentAmount | 4215.08 |
| Total Drug Medicare Standardized Payment Amount | 4215.08 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 190 |
| Number Of Medical Services | 5894 |
| Number Of Medicare Beneficiaries With Medical Services | 3290 |
| Total Medical Submitted Charge Amount | 671026.68 |
| Total Medical Medicare Allowed Amount | 216648.14 |
| Total Medical Medicare Payment Amount | 171317.85 |
| Total Medical Medicare Standardized Payment Amount | 175839.45 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 426 |
| Number Of Beneficiaries Age 65 to 74 | 1171 |
| Number Of Beneficiaries Age 75 to 84 | 1143 |
| Number Of Beneficiaries Age Greater 84 | 554 |
| Number Of Female Beneficiaries | 2022 |
| Number Of Male Beneficiaries | 1272 |
| Number Of Non Hispanic White Beneficiaries | 3039 |
| Number Of Black or African American Beneficiaries | 81 |
| 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 | 2750 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 544 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.4592 |