| National Provider Identifier [NPI]: | 1003862566 |
| Last Name Of The Provider | SOBLE |
| First Name Of The Provider | MARC |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3024 BUSINESS PARK CIR |
| Street Address 2 Of The Provider | |
| City Of The Provider | GOODLETTSVILLE |
| Zip Code Of The Provider | 370723132 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 215 |
| Number Of Services | 25061 |
| Number Of Medicare Beneficiaries | 4630 |
| Total Submitted Charge Amount | 1632758 |
| Total Medicare Allowed Amount | 300725.45 |
| Total Medicare Payment Amount | 229617.22 |
| Total Medicare Standardized Payment Amount | 253220.89 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 17453 |
| Number Of Medicare Beneficiaries With Drug Services | 179 |
| Total Drug Submitted ChargeAmount | 6470.05 |
| Total Drug Medicare AllowedAmount | 5646.87 |
| Total Drug Medicare PaymentAmount | 4352.93 |
| Total Drug Medicare Standardized Payment Amount | 4352.93 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 205 |
| Number Of Medical Services | 7608 |
| Number Of Medicare Beneficiaries With Medical Services | 4629 |
| Total Medical Submitted Charge Amount | 1626287.95 |
| Total Medical Medicare Allowed Amount | 295078.58 |
| Total Medical Medicare Payment Amount | 225264.29 |
| Total Medical Medicare Standardized Payment Amount | 248867.96 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 796 |
| Number Of Beneficiaries Age 65 to 74 | 1793 |
| Number Of Beneficiaries Age 75 to 84 | 1411 |
| Number Of Beneficiaries Age Greater 84 | 630 |
| Number Of Female Beneficiaries | 2774 |
| Number Of Male Beneficiaries | 1856 |
| Number Of Non Hispanic White Beneficiaries | 3968 |
| Number Of Black or African American Beneficiaries | 565 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 29 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3711 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 919 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7298 |