| National Provider Identifier [NPI]: | 1942357769 |
| Last Name Of The Provider | GARCIA |
| First Name Of The Provider | KIMBERLY |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1717 N E STREET |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | PENSACOLA |
| Zip Code Of The Provider | 325016336 |
| 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 | 243 |
| Number Of Services | 18869 |
| Number Of Medicare Beneficiaries | 7310 |
| Total Submitted Charge Amount | 1203006.36 |
| Total Medicare Allowed Amount | 461678.91 |
| Total Medicare Payment Amount | 344816.62 |
| Total Medicare Standardized Payment Amount | 353702.42 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6150 |
| Number Of Medicare Beneficiaries With Drug Services | 83 |
| Total Drug Submitted ChargeAmount | 7500 |
| Total Drug Medicare AllowedAmount | 2074.47 |
| Total Drug Medicare PaymentAmount | 1582.65 |
| Total Drug Medicare Standardized Payment Amount | 1582.65 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 241 |
| Number Of Medical Services | 12719 |
| Number Of Medicare Beneficiaries With Medical Services | 7310 |
| Total Medical Submitted Charge Amount | 1195506.36 |
| Total Medical Medicare Allowed Amount | 459604.44 |
| Total Medical Medicare Payment Amount | 343233.97 |
| Total Medical Medicare Standardized Payment Amount | 352119.77 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1269 |
| Number Of Beneficiaries Age 65 to 74 | 2823 |
| Number Of Beneficiaries Age 75 to 84 | 2182 |
| Number Of Beneficiaries Age Greater 84 | 1036 |
| Number Of Female Beneficiaries | 4591 |
| Number Of Male Beneficiaries | 2719 |
| Number Of Non Hispanic White Beneficiaries | 6331 |
| Number Of Black or African American Beneficiaries | 700 |
| Number Of AsianPacific Islander Beneficiaries | 67 |
| Number Of Hispanic Beneficiaries | 107 |
| Number Of American Indian Alaska Native Beneficiaries | 34 |
| Number Of Beneficiaries With Race Not Else where Classified | 71 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5859 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1451 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 60 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4936 |