| National Provider Identifier [NPI]: | 1669427241 |
| Last Name Of The Provider | JIMENEZ |
| First Name Of The Provider | CARLOS |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 800 MEADOWS RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BOCA RATON |
| Zip Code Of The Provider | 334862304 |
| 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 | 181 |
| Number Of Services | 37365 |
| Number Of Medicare Beneficiaries | 5244 |
| Total Submitted Charge Amount | 3695201.3 |
| Total Medicare Allowed Amount | 1567118.73 |
| Total Medicare Payment Amount | 1211286.32 |
| Total Medicare Standardized Payment Amount | 1193310.47 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 29858 |
| Number Of Medicare Beneficiaries With Drug Services | 764 |
| Total Drug Submitted ChargeAmount | 42110.3 |
| Total Drug Medicare AllowedAmount | 20071.32 |
| Total Drug Medicare PaymentAmount | 15597.47 |
| Total Drug Medicare Standardized Payment Amount | 15597.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 177 |
| Number Of Medical Services | 7507 |
| Number Of Medicare Beneficiaries With Medical Services | 5230 |
| Total Medical Submitted Charge Amount | 3653091 |
| Total Medical Medicare Allowed Amount | 1547047.41 |
| Total Medical Medicare Payment Amount | 1195688.85 |
| Total Medical Medicare Standardized Payment Amount | 1177713 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 220 |
| Number Of Beneficiaries Age 65 to 74 | 1672 |
| Number Of Beneficiaries Age 75 to 84 | 1978 |
| Number Of Beneficiaries Age Greater 84 | 1374 |
| Number Of Female Beneficiaries | 3067 |
| Number Of Male Beneficiaries | 2177 |
| Number Of Non Hispanic White Beneficiaries | 4887 |
| Number Of Black or African American Beneficiaries | 104 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 155 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 68 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4876 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 368 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6134 |