| National Provider Identifier [NPI]: | 1679590178 |
| Last Name Of The Provider | BIANCO |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 14 OFFICE PARK DRIVE |
| Street Address 2 Of The Provider | SUITE 1 |
| City Of The Provider | PALM COAST |
| Zip Code Of The Provider | 32137 |
| 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 | 55 |
| Number Of Services | 16637 |
| Number Of Medicare Beneficiaries | 2531 |
| Total Submitted Charge Amount | 1760836 |
| Total Medicare Allowed Amount | 856202.95 |
| Total Medicare Payment Amount | 633522.98 |
| Total Medicare Standardized Payment Amount | 628078.76 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 4413 |
| Number Of Medicare Beneficiaries With Drug Services | 97 |
| Total Drug Submitted ChargeAmount | 67540 |
| Total Drug Medicare AllowedAmount | 16367.17 |
| Total Drug Medicare PaymentAmount | 12481.07 |
| Total Drug Medicare Standardized Payment Amount | 12481.07 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 51 |
| Number Of Medical Services | 12224 |
| Number Of Medicare Beneficiaries With Medical Services | 2531 |
| Total Medical Submitted Charge Amount | 1693296 |
| Total Medical Medicare Allowed Amount | 839835.78 |
| Total Medical Medicare Payment Amount | 621041.91 |
| Total Medical Medicare Standardized Payment Amount | 615597.69 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 175 |
| Number Of Beneficiaries Age 65 to 74 | 831 |
| Number Of Beneficiaries Age 75 to 84 | 987 |
| Number Of Beneficiaries Age Greater 84 | 538 |
| Number Of Female Beneficiaries | 1193 |
| Number Of Male Beneficiaries | 1338 |
| Number Of Non Hispanic White Beneficiaries | 2119 |
| Number Of Black or African American Beneficiaries | 241 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 108 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2286 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 245 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4743 |