| National Provider Identifier [NPI]: | 1962606228 |
| Last Name Of The Provider | STANFILL |
| First Name Of The Provider | ROBERT |
| 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 | 3660 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 | 196 |
| Number Of Services | 33641 |
| Number Of Medicare Beneficiaries | 6355 |
| Total Submitted Charge Amount | 2474679.82 |
| Total Medicare Allowed Amount | 875056.22 |
| Total Medicare Payment Amount | 740550.85 |
| Total Medicare Standardized Payment Amount | 712490.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 22558 |
| Number Of Medicare Beneficiaries With Drug Services | 303 |
| Total Drug Submitted ChargeAmount | 33612.32 |
| Total Drug Medicare AllowedAmount | 6456.91 |
| Total Drug Medicare PaymentAmount | 5001.13 |
| Total Drug Medicare Standardized Payment Amount | 5001.13 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 191 |
| Number Of Medical Services | 11083 |
| Number Of Medicare Beneficiaries With Medical Services | 6354 |
| Total Medical Submitted Charge Amount | 2441067.5 |
| Total Medical Medicare Allowed Amount | 868599.31 |
| Total Medical Medicare Payment Amount | 735549.72 |
| Total Medical Medicare Standardized Payment Amount | 707489.49 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 636 |
| Number Of Beneficiaries Age 65 to 74 | 3006 |
| Number Of Beneficiaries Age 75 to 84 | 1974 |
| Number Of Beneficiaries Age Greater 84 | 739 |
| Number Of Female Beneficiaries | 4863 |
| Number Of Male Beneficiaries | 1492 |
| Number Of Non Hispanic White Beneficiaries | 5528 |
| Number Of Black or African American Beneficiaries | 230 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 457 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 87 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5438 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 917 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3211 |