| National Provider Identifier [NPI]: | 1033125950 |
| Last Name Of The Provider | RAHAIM |
| First Name Of The Provider | MATTHEW |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1200 7TH AVE N |
| Street Address 2 Of The Provider | |
| City Of The Provider | ST PETERSBURG |
| Zip Code Of The Provider | 337051300 |
| 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 | 216 |
| Number Of Services | 28625 |
| Number Of Medicare Beneficiaries | 3600 |
| Total Submitted Charge Amount | 1874063.43 |
| Total Medicare Allowed Amount | 616126.41 |
| Total Medicare Payment Amount | 479477.79 |
| Total Medicare Standardized Payment Amount | 489974.74 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 22497 |
| Number Of Medicare Beneficiaries With Drug Services | 220 |
| Total Drug Submitted ChargeAmount | 57378.6 |
| Total Drug Medicare AllowedAmount | 5433.9 |
| Total Drug Medicare PaymentAmount | 4191.84 |
| Total Drug Medicare Standardized Payment Amount | 4191.84 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 214 |
| Number Of Medical Services | 6128 |
| Number Of Medicare Beneficiaries With Medical Services | 3598 |
| Total Medical Submitted Charge Amount | 1816684.83 |
| Total Medical Medicare Allowed Amount | 610692.51 |
| Total Medical Medicare Payment Amount | 475285.95 |
| Total Medical Medicare Standardized Payment Amount | 485782.9 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 607 |
| Number Of Beneficiaries Age 65 to 74 | 1271 |
| Number Of Beneficiaries Age 75 to 84 | 1034 |
| Number Of Beneficiaries Age Greater 84 | 688 |
| Number Of Female Beneficiaries | 2287 |
| Number Of Male Beneficiaries | 1313 |
| Number Of Non Hispanic White Beneficiaries | 2957 |
| Number Of Black or African American Beneficiaries | 465 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 99 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2667 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 933 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.9075 |