| National Provider Identifier [NPI]: | 1003853250 |
| Last Name Of The Provider | BOBMAN |
| First Name Of The Provider | STUART |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3680 BROADWAY |
| Street Address 2 Of The Provider | |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339018005 |
| 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 | 257 |
| Number Of Services | 20788 |
| Number Of Medicare Beneficiaries | 3486 |
| Total Submitted Charge Amount | 3446383.61 |
| Total Medicare Allowed Amount | 831274.9 |
| Total Medicare Payment Amount | 639134.25 |
| Total Medicare Standardized Payment Amount | 610443.85 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 15822 |
| Number Of Medicare Beneficiaries With Drug Services | 568 |
| Total Drug Submitted ChargeAmount | 75936.93 |
| Total Drug Medicare AllowedAmount | 20246.7 |
| Total Drug Medicare PaymentAmount | 15683.26 |
| Total Drug Medicare Standardized Payment Amount | 15683.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 251 |
| Number Of Medical Services | 4966 |
| Number Of Medicare Beneficiaries With Medical Services | 3469 |
| Total Medical Submitted Charge Amount | 3370446.68 |
| Total Medical Medicare Allowed Amount | 811028.2 |
| Total Medical Medicare Payment Amount | 623450.99 |
| Total Medical Medicare Standardized Payment Amount | 594760.59 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 680 |
| Number Of Beneficiaries Age 65 to 74 | 1440 |
| Number Of Beneficiaries Age 75 to 84 | 939 |
| Number Of Beneficiaries Age Greater 84 | 427 |
| Number Of Female Beneficiaries | 2041 |
| Number Of Male Beneficiaries | 1445 |
| Number Of Non Hispanic White Beneficiaries | 3023 |
| Number Of Black or African American Beneficiaries | 148 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 232 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 57 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2888 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 598 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5182 |