| National Provider Identifier [NPI]: | 1700825551 |
| Last Name Of The Provider | MARGOLIN |
| First Name Of The Provider | CHAIM |
| 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 | 13731 METROPOLIS AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339127150 |
| 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 | 169 |
| Number Of Services | 47189 |
| Number Of Medicare Beneficiaries | 3916 |
| Total Submitted Charge Amount | 1767190.9 |
| Total Medicare Allowed Amount | 811636.65 |
| Total Medicare Payment Amount | 640108.81 |
| Total Medicare Standardized Payment Amount | 615984.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 40415 |
| Number Of Medicare Beneficiaries With Drug Services | 401 |
| Total Drug Submitted ChargeAmount | 48154.9 |
| Total Drug Medicare AllowedAmount | 15686.87 |
| Total Drug Medicare PaymentAmount | 12277.71 |
| Total Drug Medicare Standardized Payment Amount | 12277.71 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 162 |
| Number Of Medical Services | 6774 |
| Number Of Medicare Beneficiaries With Medical Services | 3913 |
| Total Medical Submitted Charge Amount | 1719036 |
| Total Medical Medicare Allowed Amount | 795949.78 |
| Total Medical Medicare Payment Amount | 627831.1 |
| Total Medical Medicare Standardized Payment Amount | 603707.13 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 277 |
| Number Of Beneficiaries Age 65 to 74 | 1864 |
| Number Of Beneficiaries Age 75 to 84 | 1354 |
| Number Of Beneficiaries Age Greater 84 | 421 |
| Number Of Female Beneficiaries | 2350 |
| Number Of Male Beneficiaries | 1566 |
| Number Of Non Hispanic White Beneficiaries | 3676 |
| Number Of Black or African American Beneficiaries | 58 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 109 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3684 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 232 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.0911 |