| National Provider Identifier [NPI]: | 1619950995 |
| Last Name Of The Provider | BESTIC |
| First Name Of The Provider | JOSEPH |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4500 SAN PABLO RD S |
| Street Address 2 Of The Provider | |
| City Of The Provider | JACKSONVILLE |
| Zip Code Of The Provider | 322241865 |
| 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 | 143 |
| Number Of Services | 37521 |
| Number Of Medicare Beneficiaries | 4753 |
| Total Submitted Charge Amount | 561599.34 |
| Total Medicare Allowed Amount | 402097.04 |
| Total Medicare Payment Amount | 300816.86 |
| Total Medicare Standardized Payment Amount | 337447.91 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 30015 |
| Number Of Medicare Beneficiaries With Drug Services | 213 |
| Total Drug Submitted ChargeAmount | 14342.45 |
| Total Drug Medicare AllowedAmount | 11982.45 |
| Total Drug Medicare PaymentAmount | 8937.22 |
| Total Drug Medicare Standardized Payment Amount | 8937.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 134 |
| Number Of Medical Services | 7506 |
| Number Of Medicare Beneficiaries With Medical Services | 4743 |
| Total Medical Submitted Charge Amount | 547256.89 |
| Total Medical Medicare Allowed Amount | 390114.59 |
| Total Medical Medicare Payment Amount | 291879.64 |
| Total Medical Medicare Standardized Payment Amount | 328510.69 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 578 |
| Number Of Beneficiaries Age 65 to 74 | 2040 |
| Number Of Beneficiaries Age 75 to 84 | 1515 |
| Number Of Beneficiaries Age Greater 84 | 620 |
| Number Of Female Beneficiaries | 2745 |
| Number Of Male Beneficiaries | 2008 |
| Number Of Non Hispanic White Beneficiaries | 4223 |
| Number Of Black or African American Beneficiaries | 285 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 105 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 89 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4463 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 290 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.4883 |