| National Provider Identifier [NPI]: | 1558353094 |
| Last Name Of The Provider | LIM |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | S |
| 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 | 160 |
| Number Of Services | 38463 |
| Number Of Medicare Beneficiaries | 4650 |
| Total Submitted Charge Amount | 1333740.07 |
| Total Medicare Allowed Amount | 623143.72 |
| Total Medicare Payment Amount | 470689.75 |
| Total Medicare Standardized Payment Amount | 459903.21 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 31714 |
| Number Of Medicare Beneficiaries With Drug Services | 422 |
| Total Drug Submitted ChargeAmount | 31659.95 |
| Total Drug Medicare AllowedAmount | 10695.39 |
| Total Drug Medicare PaymentAmount | 8249.73 |
| Total Drug Medicare Standardized Payment Amount | 8249.73 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 157 |
| Number Of Medical Services | 6749 |
| Number Of Medicare Beneficiaries With Medical Services | 4637 |
| Total Medical Submitted Charge Amount | 1302080.12 |
| Total Medical Medicare Allowed Amount | 612448.33 |
| Total Medical Medicare Payment Amount | 462440.02 |
| Total Medical Medicare Standardized Payment Amount | 451653.48 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 313 |
| Number Of Beneficiaries Age 65 to 74 | 1905 |
| Number Of Beneficiaries Age 75 to 84 | 1691 |
| Number Of Beneficiaries Age Greater 84 | 741 |
| Number Of Female Beneficiaries | 2459 |
| Number Of Male Beneficiaries | 2191 |
| Number Of Non Hispanic White Beneficiaries | 4248 |
| Number Of Black or African American Beneficiaries | 69 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 254 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 56 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4195 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 455 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.2896 |