| National Provider Identifier [NPI]: | 1154320273 |
| Last Name Of The Provider | ROBERTS |
| First Name Of The Provider | DAVID |
| 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 | 100 CARNIE BLVD |
| Street Address 2 Of The Provider | SOUTH JERSEY RADIOLOGY ASSOCIATES, PA |
| City Of The Provider | VOORHEES |
| Zip Code Of The Provider | 080434514 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 161 |
| Number Of Services | 35332.5 |
| Number Of Medicare Beneficiaries | 2501 |
| Total Submitted Charge Amount | 2348507.72 |
| Total Medicare Allowed Amount | 508330.62 |
| Total Medicare Payment Amount | 387591.05 |
| Total Medicare Standardized Payment Amount | 359711.23 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 32094.5 |
| Number Of Medicare Beneficiaries With Drug Services | 470 |
| Total Drug Submitted ChargeAmount | 41276.72 |
| Total Drug Medicare AllowedAmount | 10622.23 |
| Total Drug Medicare PaymentAmount | 8314.81 |
| Total Drug Medicare Standardized Payment Amount | 8314.81 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 156 |
| Number Of Medical Services | 3238 |
| Number Of Medicare Beneficiaries With Medical Services | 2501 |
| Total Medical Submitted Charge Amount | 2307231 |
| Total Medical Medicare Allowed Amount | 497708.39 |
| Total Medical Medicare Payment Amount | 379276.24 |
| Total Medical Medicare Standardized Payment Amount | 351396.42 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 321 |
| Number Of Beneficiaries Age 65 to 74 | 1034 |
| Number Of Beneficiaries Age 75 to 84 | 715 |
| Number Of Beneficiaries Age Greater 84 | 431 |
| Number Of Female Beneficiaries | 1495 |
| Number Of Male Beneficiaries | 1006 |
| Number Of Non Hispanic White Beneficiaries | 2142 |
| Number Of Black or African American Beneficiaries | 210 |
| Number Of AsianPacific Islander Beneficiaries | 49 |
| Number Of Hispanic Beneficiaries | 54 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2193 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 308 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 14 |
| 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 | 24 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6026 |