| National Provider Identifier [NPI]: | 1366646424 |
| Last Name Of The Provider | MAGAS |
| First Name Of The Provider | LOUIS |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6311 SOUTH POINTE BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339194901 |
| 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 | 225 |
| Number Of Services | 30596.5 |
| Number Of Medicare Beneficiaries | 4938 |
| Total Submitted Charge Amount | 1223609.22 |
| Total Medicare Allowed Amount | 492526.32 |
| Total Medicare Payment Amount | 376130.33 |
| Total Medicare Standardized Payment Amount | 364446.88 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 23809.5 |
| Number Of Medicare Beneficiaries With Drug Services | 285 |
| Total Drug Submitted ChargeAmount | 60459.56 |
| Total Drug Medicare AllowedAmount | 7338.37 |
| Total Drug Medicare PaymentAmount | 5718.91 |
| Total Drug Medicare Standardized Payment Amount | 5718.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 217 |
| Number Of Medical Services | 6787 |
| Number Of Medicare Beneficiaries With Medical Services | 4934 |
| Total Medical Submitted Charge Amount | 1163149.66 |
| Total Medical Medicare Allowed Amount | 485187.95 |
| Total Medical Medicare Payment Amount | 370411.42 |
| Total Medical Medicare Standardized Payment Amount | 358727.97 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 592 |
| Number Of Beneficiaries Age 65 to 74 | 1671 |
| Number Of Beneficiaries Age 75 to 84 | 1664 |
| Number Of Beneficiaries Age Greater 84 | 1011 |
| Number Of Female Beneficiaries | 2649 |
| Number Of Male Beneficiaries | 2289 |
| Number Of Non Hispanic White Beneficiaries | 4433 |
| Number Of Black or African American Beneficiaries | 165 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 254 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 62 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4101 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 837 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.5332 |