| National Provider Identifier [NPI]: | 1194700732 |
| Last Name Of The Provider | PAIGE |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1223 GATEWAY DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | MELBOURNE |
| Zip Code Of The Provider | 329012607 |
| 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 | 177 |
| Number Of Services | 69667 |
| Number Of Medicare Beneficiaries | 4803 |
| Total Submitted Charge Amount | 2836728.14 |
| Total Medicare Allowed Amount | 1190332.05 |
| Total Medicare Payment Amount | 897490.38 |
| Total Medicare Standardized Payment Amount | 925014.27 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 61664 |
| Number Of Medicare Beneficiaries With Drug Services | 796 |
| Total Drug Submitted ChargeAmount | 83624 |
| Total Drug Medicare AllowedAmount | 20721.32 |
| Total Drug Medicare PaymentAmount | 16133.33 |
| Total Drug Medicare Standardized Payment Amount | 16133.33 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 170 |
| Number Of Medical Services | 8003 |
| Number Of Medicare Beneficiaries With Medical Services | 4798 |
| Total Medical Submitted Charge Amount | 2753104.14 |
| Total Medical Medicare Allowed Amount | 1169610.73 |
| Total Medical Medicare Payment Amount | 881357.05 |
| Total Medical Medicare Standardized Payment Amount | 908880.94 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 484 |
| Number Of Beneficiaries Age 65 to 74 | 1820 |
| Number Of Beneficiaries Age 75 to 84 | 1731 |
| Number Of Beneficiaries Age Greater 84 | 768 |
| Number Of Female Beneficiaries | 2579 |
| Number Of Male Beneficiaries | 2224 |
| Number Of Non Hispanic White Beneficiaries | 4279 |
| Number Of Black or African American Beneficiaries | 221 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 197 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 62 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4360 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 443 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4348 |