| National Provider Identifier [NPI]: | 1497834980 |
| Last Name Of The Provider | STROBEL |
| First Name Of The Provider | JOHN |
| 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 | 3100 CHANNING WAY |
| Street Address 2 Of The Provider | |
| City Of The Provider | IDAHO FALLS |
| Zip Code Of The Provider | 834047533 |
| State Code Of The Provider | ID |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 313 |
| Number Of Services | 8788 |
| Number Of Medicare Beneficiaries | 3037 |
| Total Submitted Charge Amount | 1415974.05 |
| Total Medicare Allowed Amount | 366218.99 |
| Total Medicare Payment Amount | 284161.51 |
| Total Medicare Standardized Payment Amount | 308633.16 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 12 |
| Number Of Drug Services | 3906 |
| Number Of Medicare Beneficiaries With Drug Services | 138 |
| Total Drug Submitted ChargeAmount | 6195.03 |
| Total Drug Medicare AllowedAmount | 2021.77 |
| Total Drug Medicare PaymentAmount | 1449.59 |
| Total Drug Medicare Standardized Payment Amount | 1449.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 301 |
| Number Of Medical Services | 4882 |
| Number Of Medicare Beneficiaries With Medical Services | 3037 |
| Total Medical Submitted Charge Amount | 1409779.02 |
| Total Medical Medicare Allowed Amount | 364197.22 |
| Total Medical Medicare Payment Amount | 282711.92 |
| Total Medical Medicare Standardized Payment Amount | 307183.57 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 510 |
| Number Of Beneficiaries Age 65 to 74 | 1155 |
| Number Of Beneficiaries Age 75 to 84 | 937 |
| Number Of Beneficiaries Age Greater 84 | 435 |
| Number Of Female Beneficiaries | 1880 |
| Number Of Male Beneficiaries | 1157 |
| Number Of Non Hispanic White Beneficiaries | 2881 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 17 |
| Number Of Hispanic Beneficiaries | 92 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2332 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 705 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 41 |
| Percent Of With Hypertension | 62 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.279 |