| National Provider Identifier [NPI]: | 1457334732 |
| Last Name Of The Provider | RUSSELL |
| First Name Of The Provider | JAMES |
| 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 | 1800 BARRS ST |
| Street Address 2 Of The Provider | DEPARTMENT OF RADIOLOGY |
| City Of The Provider | JACKSONVILLE |
| Zip Code Of The Provider | 322044704 |
| 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 | 209 |
| Number Of Services | 7799 |
| Number Of Medicare Beneficiaries | 4629 |
| Total Submitted Charge Amount | 1531685 |
| Total Medicare Allowed Amount | 228272.79 |
| Total Medicare Payment Amount | 176375.5 |
| Total Medicare Standardized Payment Amount | 176531.12 |
| 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 | 209 |
| Number Of Medical Services | 7799 |
| Number Of Medicare Beneficiaries With Medical Services | 4629 |
| Total Medical Submitted Charge Amount | 1531685 |
| Total Medical Medicare Allowed Amount | 228272.79 |
| Total Medical Medicare Payment Amount | 176375.5 |
| Total Medical Medicare Standardized Payment Amount | 176531.12 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 790 |
| Number Of Beneficiaries Age 65 to 74 | 1736 |
| Number Of Beneficiaries Age 75 to 84 | 1361 |
| Number Of Beneficiaries Age Greater 84 | 742 |
| Number Of Female Beneficiaries | 3005 |
| Number Of Male Beneficiaries | 1624 |
| Number Of Non Hispanic White Beneficiaries | 3534 |
| Number Of Black or African American Beneficiaries | 900 |
| Number Of AsianPacific Islander Beneficiaries | 46 |
| Number Of Hispanic Beneficiaries | 102 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3457 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1172 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.9 |