| National Provider Identifier [NPI]: | 1114969235 |
| Last Name Of The Provider | D'ANGELO |
| First Name Of The Provider | MICHAEL |
| 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 | 6101 PINE RIDGE RD |
| Street Address 2 Of The Provider | DESK 32 |
| City Of The Provider | NAPLES |
| Zip Code Of The Provider | 341193900 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 91 |
| Number Of Services | 13083 |
| Number Of Medicare Beneficiaries | 1620 |
| Total Submitted Charge Amount | 3201107.41 |
| Total Medicare Allowed Amount | 966790.82 |
| Total Medicare Payment Amount | 725366.79 |
| Total Medicare Standardized Payment Amount | 694841.08 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 302 |
| Number Of Medicare Beneficiaries With Drug Services | 49 |
| Total Drug Submitted ChargeAmount | 177858.8 |
| Total Drug Medicare AllowedAmount | 57971.44 |
| Total Drug Medicare PaymentAmount | 45449.05 |
| Total Drug Medicare Standardized Payment Amount | 45449.05 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 86 |
| Number Of Medical Services | 12781 |
| Number Of Medicare Beneficiaries With Medical Services | 1620 |
| Total Medical Submitted Charge Amount | 3023248.61 |
| Total Medical Medicare Allowed Amount | 908819.38 |
| Total Medical Medicare Payment Amount | 679917.74 |
| Total Medical Medicare Standardized Payment Amount | 649392.03 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 49 |
| Number Of Beneficiaries Age 65 to 74 | 672 |
| Number Of Beneficiaries Age 75 to 84 | 681 |
| Number Of Beneficiaries Age Greater 84 | 218 |
| Number Of Female Beneficiaries | 326 |
| Number Of Male Beneficiaries | 1294 |
| Number Of Non Hispanic White Beneficiaries | 1481 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 94 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1517 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 103 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 3 |
| Percent Of With Cancer | 32 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2003 |