| National Provider Identifier [NPI]: | 1609840453 |
| Last Name Of The Provider | FERGENSON |
| First Name Of The Provider | JON |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2815 S SEACREST BLVD |
| Street Address 2 Of The Provider | ATTENTION: BETSY COX |
| City Of The Provider | BOYNTON BEACH |
| Zip Code Of The Provider | 334357934 |
| 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 | 205 |
| Number Of Services | 17577 |
| Number Of Medicare Beneficiaries | 4483 |
| Total Submitted Charge Amount | 1501038 |
| Total Medicare Allowed Amount | 458257.52 |
| Total Medicare Payment Amount | 353283.31 |
| Total Medicare Standardized Payment Amount | 351030.2 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 9120 |
| Number Of Medicare Beneficiaries With Drug Services | 95 |
| Total Drug Submitted ChargeAmount | 16074 |
| Total Drug Medicare AllowedAmount | 1860.02 |
| Total Drug Medicare PaymentAmount | 1458.2 |
| Total Drug Medicare Standardized Payment Amount | 1458.2 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 203 |
| Number Of Medical Services | 8457 |
| Number Of Medicare Beneficiaries With Medical Services | 4482 |
| Total Medical Submitted Charge Amount | 1484964 |
| Total Medical Medicare Allowed Amount | 456397.5 |
| Total Medical Medicare Payment Amount | 351825.11 |
| Total Medical Medicare Standardized Payment Amount | 349572 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 360 |
| Number Of Beneficiaries Age 65 to 74 | 1082 |
| Number Of Beneficiaries Age 75 to 84 | 1630 |
| Number Of Beneficiaries Age Greater 84 | 1411 |
| Number Of Female Beneficiaries | 2531 |
| Number Of Male Beneficiaries | 1952 |
| Number Of Non Hispanic White Beneficiaries | 3945 |
| Number Of Black or African American Beneficiaries | 277 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 170 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 51 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3819 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 664 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 29 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 66 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9804 |