| National Provider Identifier [NPI]: | 1396776522 |
| Last Name Of The Provider | LEWIS |
| First Name Of The Provider | ANTHONY |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1310 SW ST. LUCIE WEST BLVD. |
| Street Address 2 Of The Provider | SUITE #102 |
| City Of The Provider | PT. ST. LUCIE |
| Zip Code Of The Provider | 34986 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 47 |
| Number Of Services | 6942 |
| Number Of Medicare Beneficiaries | 3087 |
| Total Submitted Charge Amount | 689517 |
| Total Medicare Allowed Amount | 374749.89 |
| Total Medicare Payment Amount | 283083.1 |
| Total Medicare Standardized Payment Amount | 271987.79 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 200 |
| Number Of Medicare Beneficiaries With Drug Services | 50 |
| Total Drug Submitted ChargeAmount | 16500 |
| Total Drug Medicare AllowedAmount | 10592.34 |
| Total Drug Medicare PaymentAmount | 8304.36 |
| Total Drug Medicare Standardized Payment Amount | 8304.36 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 46 |
| Number Of Medical Services | 6742 |
| Number Of Medicare Beneficiaries With Medical Services | 3087 |
| Total Medical Submitted Charge Amount | 673017 |
| Total Medical Medicare Allowed Amount | 364157.55 |
| Total Medical Medicare Payment Amount | 274778.74 |
| Total Medical Medicare Standardized Payment Amount | 263683.43 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 602 |
| Number Of Beneficiaries Age 65 to 74 | 843 |
| Number Of Beneficiaries Age 75 to 84 | 876 |
| Number Of Beneficiaries Age Greater 84 | 766 |
| Number Of Female Beneficiaries | 1655 |
| Number Of Male Beneficiaries | 1432 |
| Number Of Non Hispanic White Beneficiaries | 2390 |
| Number Of Black or African American Beneficiaries | 432 |
| Number Of AsianPacific Islander Beneficiaries | 33 |
| Number Of Hispanic Beneficiaries | 202 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2056 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1031 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 29 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 41 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 73 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 2.1888 |