| National Provider Identifier [NPI]: | 1225128259 |
| Last Name Of The Provider | PITONAK |
| First Name Of The Provider | PETER |
| 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 | 703 E FLEISHEL AVE |
| Street Address 2 Of The Provider | STE 4000 |
| City Of The Provider | TYLER |
| Zip Code Of The Provider | 757012015 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 61 |
| Number Of Services | 7891 |
| Number Of Medicare Beneficiaries | 3533 |
| Total Submitted Charge Amount | 1476382 |
| Total Medicare Allowed Amount | 358766.97 |
| Total Medicare Payment Amount | 266490.87 |
| Total Medicare Standardized Payment Amount | 279091.18 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 61 |
| Number Of Medical Services | 7891 |
| Number Of Medicare Beneficiaries With Medical Services | 3533 |
| Total Medical Submitted Charge Amount | 1476382 |
| Total Medical Medicare Allowed Amount | 358766.97 |
| Total Medical Medicare Payment Amount | 266490.87 |
| Total Medical Medicare Standardized Payment Amount | 279091.18 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 469 |
| Number Of Beneficiaries Age 65 to 74 | 1375 |
| Number Of Beneficiaries Age 75 to 84 | 1136 |
| Number Of Beneficiaries Age Greater 84 | 553 |
| Number Of Female Beneficiaries | 1895 |
| Number Of Male Beneficiaries | 1638 |
| Number Of Non Hispanic White Beneficiaries | 2997 |
| Number Of Black or African American Beneficiaries | 425 |
| Number Of AsianPacific Islander Beneficiaries | 13 |
| Number Of Hispanic Beneficiaries | 74 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 13 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2849 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 684 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.6698 |