| National Provider Identifier [NPI]: | 1982647376 |
| Last Name Of The Provider | LIM |
| First Name Of The Provider | RODOLFO |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1801 W 40TH AVE |
| Street Address 2 Of The Provider | SUITE 2C |
| City Of The Provider | PINE BLUFF |
| Zip Code Of The Provider | 716036900 |
| 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 | 197 |
| Number Of Services | 9485 |
| Number Of Medicare Beneficiaries | 5253 |
| Total Submitted Charge Amount | 1000660 |
| Total Medicare Allowed Amount | 269132.62 |
| Total Medicare Payment Amount | 196233.48 |
| Total Medicare Standardized Payment Amount | 213055.26 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 197 |
| Number Of Medical Services | 9485 |
| Number Of Medicare Beneficiaries With Medical Services | 5253 |
| Total Medical Submitted Charge Amount | 1000660 |
| Total Medical Medicare Allowed Amount | 269132.62 |
| Total Medical Medicare Payment Amount | 196233.48 |
| Total Medical Medicare Standardized Payment Amount | 213055.26 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1172 |
| Number Of Beneficiaries Age 65 to 74 | 2012 |
| Number Of Beneficiaries Age 75 to 84 | 1426 |
| Number Of Beneficiaries Age Greater 84 | 643 |
| Number Of Female Beneficiaries | 3276 |
| Number Of Male Beneficiaries | 1977 |
| Number Of Non Hispanic White Beneficiaries | 3558 |
| Number Of Black or African American Beneficiaries | 1639 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 26 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 16 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3512 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1741 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5096 |