| National Provider Identifier [NPI]: | 1093748840 |
| Last Name Of The Provider | MARINO |
| First Name Of The Provider | THOMAS |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 201 E SAMPLE RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | POMPANO BEACH |
| Zip Code Of The Provider | 330643502 |
| 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 | 202 |
| Number Of Services | 13979 |
| Number Of Medicare Beneficiaries | 3901 |
| Total Submitted Charge Amount | 1525164.69 |
| Total Medicare Allowed Amount | 341140.52 |
| Total Medicare Payment Amount | 261776.25 |
| Total Medicare Standardized Payment Amount | 255426.05 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 7601 |
| Number Of Medicare Beneficiaries With Drug Services | 121 |
| Total Drug Submitted ChargeAmount | 11921 |
| Total Drug Medicare AllowedAmount | 2600.39 |
| Total Drug Medicare PaymentAmount | 1952.91 |
| Total Drug Medicare Standardized Payment Amount | 1952.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 196 |
| Number Of Medical Services | 6378 |
| Number Of Medicare Beneficiaries With Medical Services | 3900 |
| Total Medical Submitted Charge Amount | 1513243.69 |
| Total Medical Medicare Allowed Amount | 338540.13 |
| Total Medical Medicare Payment Amount | 259823.34 |
| Total Medical Medicare Standardized Payment Amount | 253473.14 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 531 |
| Number Of Beneficiaries Age 65 to 74 | 1075 |
| Number Of Beneficiaries Age 75 to 84 | 1266 |
| Number Of Beneficiaries Age Greater 84 | 1029 |
| Number Of Female Beneficiaries | 2264 |
| Number Of Male Beneficiaries | 1637 |
| Number Of Non Hispanic White Beneficiaries | 3210 |
| Number Of Black or African American Beneficiaries | 272 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 348 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2954 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 947 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.9579 |