| National Provider Identifier [NPI]: | 1922090463 |
| Last Name Of The Provider | SMOCK |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1441 RIDGE ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | NAPLES |
| Zip Code Of The Provider | 341034211 |
| 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 | 208 |
| Number Of Services | 39835 |
| Number Of Medicare Beneficiaries | 7527 |
| Total Submitted Charge Amount | 1581927.14 |
| Total Medicare Allowed Amount | 911540.65 |
| Total Medicare Payment Amount | 710121.99 |
| Total Medicare Standardized Payment Amount | 689457.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 27763 |
| Number Of Medicare Beneficiaries With Drug Services | 325 |
| Total Drug Submitted ChargeAmount | 18630.01 |
| Total Drug Medicare AllowedAmount | 6471.66 |
| Total Drug Medicare PaymentAmount | 5040.02 |
| Total Drug Medicare Standardized Payment Amount | 5040.02 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 203 |
| Number Of Medical Services | 12072 |
| Number Of Medicare Beneficiaries With Medical Services | 7525 |
| Total Medical Submitted Charge Amount | 1563297.13 |
| Total Medical Medicare Allowed Amount | 905068.99 |
| Total Medical Medicare Payment Amount | 705081.97 |
| Total Medical Medicare Standardized Payment Amount | 684417.62 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 394 |
| Number Of Beneficiaries Age 65 to 74 | 3478 |
| Number Of Beneficiaries Age 75 to 84 | 2710 |
| Number Of Beneficiaries Age Greater 84 | 945 |
| Number Of Female Beneficiaries | 4787 |
| Number Of Male Beneficiaries | 2740 |
| Number Of Non Hispanic White Beneficiaries | 6884 |
| Number Of Black or African American Beneficiaries | 101 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 388 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 104 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6934 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 593 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.151 |