| National Provider Identifier [NPI]: | 1427024405 |
| Last Name Of The Provider | CAIN |
| First Name Of The Provider | MARTIN |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2322 S 57TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | FORT SMITH |
| Zip Code Of The Provider | 729033813 |
| State Code Of The Provider | AR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 227 |
| Number Of Services | 8238 |
| Number Of Medicare Beneficiaries | 4234 |
| Total Submitted Charge Amount | 862033 |
| Total Medicare Allowed Amount | 215219.81 |
| Total Medicare Payment Amount | 167074.34 |
| Total Medicare Standardized Payment Amount | 182198.55 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1370 |
| Number Of Medicare Beneficiaries With Drug Services | 26 |
| Total Drug Submitted ChargeAmount | 1810 |
| Total Drug Medicare AllowedAmount | 287.66 |
| Total Drug Medicare PaymentAmount | 219.81 |
| Total Drug Medicare Standardized Payment Amount | 219.81 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 225 |
| Number Of Medical Services | 6868 |
| Number Of Medicare Beneficiaries With Medical Services | 4234 |
| Total Medical Submitted Charge Amount | 860223 |
| Total Medical Medicare Allowed Amount | 214932.15 |
| Total Medical Medicare Payment Amount | 166854.53 |
| Total Medical Medicare Standardized Payment Amount | 181978.74 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 837 |
| Number Of Beneficiaries Age 65 to 74 | 1596 |
| Number Of Beneficiaries Age 75 to 84 | 1255 |
| Number Of Beneficiaries Age Greater 84 | 546 |
| Number Of Female Beneficiaries | 2722 |
| Number Of Male Beneficiaries | 1512 |
| Number Of Non Hispanic White Beneficiaries | 3894 |
| Number Of Black or African American Beneficiaries | 95 |
| Number Of AsianPacific Islander Beneficiaries | 36 |
| Number Of Hispanic Beneficiaries | 61 |
| Number Of American Indian Alaska Native Beneficiaries | 121 |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3116 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1118 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4423 |