| National Provider Identifier [NPI]: | 1497752240 |
| Last Name Of The Provider | GONZALEZ |
| First Name Of The Provider | ANTONIO |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 601 E ROLLINS ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | ORLANDO |
| Zip Code Of The Provider | 328031248 |
| 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 | 98 |
| Number Of Services | 16057.5 |
| Number Of Medicare Beneficiaries | 4965 |
| Total Submitted Charge Amount | 757300.03 |
| Total Medicare Allowed Amount | 252266.5 |
| Total Medicare Payment Amount | 192450.26 |
| Total Medicare Standardized Payment Amount | 197432.56 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 9543.5 |
| Number Of Medicare Beneficiaries With Drug Services | 87 |
| Total Drug Submitted ChargeAmount | 5682.16 |
| Total Drug Medicare AllowedAmount | 3272.2 |
| Total Drug Medicare PaymentAmount | 2565.27 |
| Total Drug Medicare Standardized Payment Amount | 2565.27 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 94 |
| Number Of Medical Services | 6514 |
| Number Of Medicare Beneficiaries With Medical Services | 4963 |
| Total Medical Submitted Charge Amount | 751617.87 |
| Total Medical Medicare Allowed Amount | 248994.3 |
| Total Medical Medicare Payment Amount | 189884.99 |
| Total Medical Medicare Standardized Payment Amount | 194867.29 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 992 |
| Number Of Beneficiaries Age 65 to 74 | 1716 |
| Number Of Beneficiaries Age 75 to 84 | 1433 |
| Number Of Beneficiaries Age Greater 84 | 824 |
| Number Of Female Beneficiaries | 2809 |
| Number Of Male Beneficiaries | 2156 |
| Number Of Non Hispanic White Beneficiaries | 3366 |
| Number Of Black or African American Beneficiaries | 664 |
| Number Of AsianPacific Islander Beneficiaries | 92 |
| Number Of Hispanic Beneficiaries | 760 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3522 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1443 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 50 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 2.2839 |