| National Provider Identifier [NPI]: | 1578551321 |
| Last Name Of The Provider | PRIETO |
| First Name Of The Provider | ROLANDO |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1818 SW 15TH AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | OCALA |
| Zip Code Of The Provider | 344743548 |
| 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 | 266 |
| Number Of Services | 10984 |
| Number Of Medicare Beneficiaries | 4158 |
| Total Submitted Charge Amount | 932665.82 |
| Total Medicare Allowed Amount | 275458.25 |
| Total Medicare Payment Amount | 206086.34 |
| Total Medicare Standardized Payment Amount | 206295.2 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 3973 |
| Number Of Medicare Beneficiaries With Drug Services | 44 |
| Total Drug Submitted ChargeAmount | 10261 |
| Total Drug Medicare AllowedAmount | 870.52 |
| Total Drug Medicare PaymentAmount | 682.46 |
| Total Drug Medicare Standardized Payment Amount | 682.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 264 |
| Number Of Medical Services | 7011 |
| Number Of Medicare Beneficiaries With Medical Services | 4158 |
| Total Medical Submitted Charge Amount | 922404.82 |
| Total Medical Medicare Allowed Amount | 274587.73 |
| Total Medical Medicare Payment Amount | 205403.88 |
| Total Medical Medicare Standardized Payment Amount | 205612.74 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 590 |
| Number Of Beneficiaries Age 65 to 74 | 1283 |
| Number Of Beneficiaries Age 75 to 84 | 1455 |
| Number Of Beneficiaries Age Greater 84 | 830 |
| Number Of Female Beneficiaries | 2176 |
| Number Of Male Beneficiaries | 1982 |
| Number Of Non Hispanic White Beneficiaries | 3602 |
| Number Of Black or African American Beneficiaries | 319 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 175 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3177 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 981 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 39 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.0389 |