| National Provider Identifier [NPI]: | 1942283932 |
| Last Name Of The Provider | JIMINEZ |
| First Name Of The Provider | STEPHANIE |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2006 FRANKLIN ST SE |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | HUNTSVILLE |
| Zip Code Of The Provider | 358014551 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 183 |
| Number Of Services | 27388 |
| Number Of Medicare Beneficiaries | 6039 |
| Total Submitted Charge Amount | 2089532.28 |
| Total Medicare Allowed Amount | 859946.93 |
| Total Medicare Payment Amount | 668788.61 |
| Total Medicare Standardized Payment Amount | 702877.54 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 17820 |
| Number Of Medicare Beneficiaries With Drug Services | 211 |
| Total Drug Submitted ChargeAmount | 19575 |
| Total Drug Medicare AllowedAmount | 4460.02 |
| Total Drug Medicare PaymentAmount | 3474.99 |
| Total Drug Medicare Standardized Payment Amount | 3474.99 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 181 |
| Number Of Medical Services | 9568 |
| Number Of Medicare Beneficiaries With Medical Services | 6039 |
| Total Medical Submitted Charge Amount | 2069957.28 |
| Total Medical Medicare Allowed Amount | 855486.91 |
| Total Medical Medicare Payment Amount | 665313.62 |
| Total Medical Medicare Standardized Payment Amount | 699402.55 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1015 |
| Number Of Beneficiaries Age 65 to 74 | 2305 |
| Number Of Beneficiaries Age 75 to 84 | 1989 |
| Number Of Beneficiaries Age Greater 84 | 730 |
| Number Of Female Beneficiaries | 3534 |
| Number Of Male Beneficiaries | 2505 |
| Number Of Non Hispanic White Beneficiaries | 5056 |
| Number Of Black or African American Beneficiaries | 873 |
| Number Of AsianPacific Islander Beneficiaries | 36 |
| Number Of Hispanic Beneficiaries | 36 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4826 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1213 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6726 |