| National Provider Identifier [NPI]: | 1255388526 |
| Last Name Of The Provider | ALEXANDER |
| First Name Of The Provider | STANLEY |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3680 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 | 222 |
| Number Of Services | 16289 |
| Number Of Medicare Beneficiaries | 3702 |
| Total Submitted Charge Amount | 1158389.98 |
| Total Medicare Allowed Amount | 360604.03 |
| Total Medicare Payment Amount | 285489.69 |
| Total Medicare Standardized Payment Amount | 275039.1 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 10743 |
| Number Of Medicare Beneficiaries With Drug Services | 118 |
| Total Drug Submitted ChargeAmount | 13521.58 |
| Total Drug Medicare AllowedAmount | 2106.28 |
| Total Drug Medicare PaymentAmount | 1651.03 |
| Total Drug Medicare Standardized Payment Amount | 1651.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 219 |
| Number Of Medical Services | 5546 |
| Number Of Medicare Beneficiaries With Medical Services | 3701 |
| Total Medical Submitted Charge Amount | 1144868.4 |
| Total Medical Medicare Allowed Amount | 358497.75 |
| Total Medical Medicare Payment Amount | 283838.66 |
| Total Medical Medicare Standardized Payment Amount | 273388.07 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 582 |
| Number Of Beneficiaries Age 65 to 74 | 1533 |
| Number Of Beneficiaries Age 75 to 84 | 1079 |
| Number Of Beneficiaries Age Greater 84 | 508 |
| Number Of Female Beneficiaries | 2245 |
| Number Of Male Beneficiaries | 1457 |
| Number Of Non Hispanic White Beneficiaries | 3117 |
| Number Of Black or African American Beneficiaries | 197 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 315 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2944 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 758 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6995 |