| National Provider Identifier [NPI]: | 1538102074 |
| Last Name Of The Provider | SHELBY |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 800 MEADOWS RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BOCA RATON |
| Zip Code Of The Provider | 334862304 |
| 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 | 155 |
| Number Of Services | 7680 |
| Number Of Medicare Beneficiaries | 5783 |
| Total Submitted Charge Amount | 1499248 |
| Total Medicare Allowed Amount | 590897.49 |
| Total Medicare Payment Amount | 449611.44 |
| Total Medicare Standardized Payment Amount | 435204.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 520 |
| Number Of Medicare Beneficiaries With Drug Services | 24 |
| Total Drug Submitted ChargeAmount | 1165 |
| Total Drug Medicare AllowedAmount | 549.81 |
| Total Drug Medicare PaymentAmount | 431.01 |
| Total Drug Medicare Standardized Payment Amount | 431.01 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 153 |
| Number Of Medical Services | 7160 |
| Number Of Medicare Beneficiaries With Medical Services | 5783 |
| Total Medical Submitted Charge Amount | 1498083 |
| Total Medical Medicare Allowed Amount | 590347.68 |
| Total Medical Medicare Payment Amount | 449180.43 |
| Total Medical Medicare Standardized Payment Amount | 434773.95 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 389 |
| Number Of Beneficiaries Age 65 to 74 | 2142 |
| Number Of Beneficiaries Age 75 to 84 | 2045 |
| Number Of Beneficiaries Age Greater 84 | 1207 |
| Number Of Female Beneficiaries | 3685 |
| Number Of Male Beneficiaries | 2098 |
| Number Of Non Hispanic White Beneficiaries | 5134 |
| Number Of Black or African American Beneficiaries | 183 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 352 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 81 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5356 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 427 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 19 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 68 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3881 |