| National Provider Identifier [NPI]: | 1386767051 |
| Last Name Of The Provider | MARVIN |
| First Name Of The Provider | SHAWN |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3633 CENTRAL AVENUE |
| Street Address 2 Of The Provider | SUITE D |
| City Of The Provider | HOT SPRINGS |
| Zip Code Of The Provider | 719136475 |
| State Code Of The Provider | AR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 197 |
| Number Of Services | 10254 |
| Number Of Medicare Beneficiaries | 6055 |
| Total Submitted Charge Amount | 1127264 |
| Total Medicare Allowed Amount | 290563.77 |
| Total Medicare Payment Amount | 222192.49 |
| Total Medicare Standardized Payment Amount | 239230.57 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 197 |
| Number Of Medical Services | 10254 |
| Number Of Medicare Beneficiaries With Medical Services | 6055 |
| Total Medical Submitted Charge Amount | 1127264 |
| Total Medical Medicare Allowed Amount | 290563.77 |
| Total Medical Medicare Payment Amount | 222192.49 |
| Total Medical Medicare Standardized Payment Amount | 239230.57 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1014 |
| Number Of Beneficiaries Age 65 to 74 | 2184 |
| Number Of Beneficiaries Age 75 to 84 | 1918 |
| Number Of Beneficiaries Age Greater 84 | 939 |
| Number Of Female Beneficiaries | 3591 |
| Number Of Male Beneficiaries | 2464 |
| Number Of Non Hispanic White Beneficiaries | 5578 |
| Number Of Black or African American Beneficiaries | 347 |
| Number Of AsianPacific Islander Beneficiaries | 15 |
| Number Of Hispanic Beneficiaries | 59 |
| Number Of American Indian Alaska Native Beneficiaries | 16 |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4753 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1302 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.479 |