| National Provider Identifier [NPI]: | 1851404107 |
| Last Name Of The Provider | MUTZ |
| First Name Of The Provider | ERIC |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1000 W MORENO ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | PENSACOLA |
| Zip Code Of The Provider | 325012316 |
| 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 | 251 |
| Number Of Services | 19120 |
| Number Of Medicare Beneficiaries | 8256 |
| Total Submitted Charge Amount | 1347040.02 |
| Total Medicare Allowed Amount | 508304.59 |
| Total Medicare Payment Amount | 380440.04 |
| Total Medicare Standardized Payment Amount | 390597.47 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 4970 |
| Number Of Medicare Beneficiaries With Drug Services | 81 |
| Total Drug Submitted ChargeAmount | 7165 |
| Total Drug Medicare AllowedAmount | 2188.3 |
| Total Drug Medicare PaymentAmount | 1677.35 |
| Total Drug Medicare Standardized Payment Amount | 1677.35 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 248 |
| Number Of Medical Services | 14150 |
| Number Of Medicare Beneficiaries With Medical Services | 8256 |
| Total Medical Submitted Charge Amount | 1339875.02 |
| Total Medical Medicare Allowed Amount | 506116.29 |
| Total Medical Medicare Payment Amount | 378762.69 |
| Total Medical Medicare Standardized Payment Amount | 388920.12 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1538 |
| Number Of Beneficiaries Age 65 to 74 | 3000 |
| Number Of Beneficiaries Age 75 to 84 | 2553 |
| Number Of Beneficiaries Age Greater 84 | 1165 |
| Number Of Female Beneficiaries | 5140 |
| Number Of Male Beneficiaries | 3116 |
| Number Of Non Hispanic White Beneficiaries | 6775 |
| Number Of Black or African American Beneficiaries | 1195 |
| Number Of AsianPacific Islander Beneficiaries | 65 |
| Number Of Hispanic Beneficiaries | 99 |
| Number Of American Indian Alaska Native Beneficiaries | 55 |
| Number Of Beneficiaries With Race Not Else where Classified | 67 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6246 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2010 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5894 |