| National Provider Identifier [NPI]: | 1902896780 |
| Last Name Of The Provider | BENJAMIN |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M. D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1106 DRUID RD S |
| Street Address 2 Of The Provider | SUITE 302 |
| City Of The Provider | CLEARWATER |
| Zip Code Of The Provider | 337563846 |
| 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 | 153 |
| Number Of Services | 8449 |
| Number Of Medicare Beneficiaries | 4748 |
| Total Submitted Charge Amount | 902253 |
| Total Medicare Allowed Amount | 200416.63 |
| Total Medicare Payment Amount | 153055.81 |
| Total Medicare Standardized Payment Amount | 153240.48 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 1425 |
| Number Of Medicare Beneficiaries With Drug Services | 15 |
| Total Drug Submitted ChargeAmount | 4275 |
| Total Drug Medicare AllowedAmount | 258.74 |
| Total Drug Medicare PaymentAmount | 202.8 |
| Total Drug Medicare Standardized Payment Amount | 202.8 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 152 |
| Number Of Medical Services | 7024 |
| Number Of Medicare Beneficiaries With Medical Services | 4748 |
| Total Medical Submitted Charge Amount | 897978 |
| Total Medical Medicare Allowed Amount | 200157.89 |
| Total Medical Medicare Payment Amount | 152853.01 |
| Total Medical Medicare Standardized Payment Amount | 153037.68 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 585 |
| Number Of Beneficiaries Age 65 to 74 | 1264 |
| Number Of Beneficiaries Age 75 to 84 | 1527 |
| Number Of Beneficiaries Age Greater 84 | 1372 |
| Number Of Female Beneficiaries | 2814 |
| Number Of Male Beneficiaries | 1934 |
| Number Of Non Hispanic White Beneficiaries | 4380 |
| Number Of Black or African American Beneficiaries | 151 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 136 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 52 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3632 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1116 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 29 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 40 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 64 |
| Percent Of With Osteoporosis | 19 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 2.0478 |