| National Provider Identifier [NPI]: | 1336140920 |
| Last Name Of The Provider | BONIER |
| First Name Of The Provider | BRUCE |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5001 LINCOLN DR W |
| Street Address 2 Of The Provider | STE F |
| City Of The Provider | MARLTON |
| Zip Code Of The Provider | 080531522 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 165 |
| Number Of Services | 12374 |
| Number Of Medicare Beneficiaries | 4607 |
| Total Submitted Charge Amount | 1371079.58 |
| Total Medicare Allowed Amount | 375377.83 |
| Total Medicare Payment Amount | 285234.83 |
| Total Medicare Standardized Payment Amount | 272935.17 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 3529 |
| Number Of Medicare Beneficiaries With Drug Services | 54 |
| Total Drug Submitted ChargeAmount | 5211.28 |
| Total Drug Medicare AllowedAmount | 1595.38 |
| Total Drug Medicare PaymentAmount | 1250.7 |
| Total Drug Medicare Standardized Payment Amount | 1250.7 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 163 |
| Number Of Medical Services | 8845 |
| Number Of Medicare Beneficiaries With Medical Services | 4607 |
| Total Medical Submitted Charge Amount | 1365868.3 |
| Total Medical Medicare Allowed Amount | 373782.45 |
| Total Medical Medicare Payment Amount | 283984.13 |
| Total Medical Medicare Standardized Payment Amount | 271684.47 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1021 |
| Number Of Beneficiaries Age 65 to 74 | 1425 |
| Number Of Beneficiaries Age 75 to 84 | 1177 |
| Number Of Beneficiaries Age Greater 84 | 984 |
| Number Of Female Beneficiaries | 2684 |
| Number Of Male Beneficiaries | 1923 |
| Number Of Non Hispanic White Beneficiaries | 3663 |
| Number Of Black or African American Beneficiaries | 685 |
| Number Of AsianPacific Islander Beneficiaries | 58 |
| Number Of Hispanic Beneficiaries | 143 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3348 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1259 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 1.8862 |