| National Provider Identifier [NPI]: | 1770625931 |
| Last Name Of The Provider | CERRUTO |
| First Name Of The Provider | CARLOS |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8150 CHANCELLOR DR |
| Street Address 2 Of The Provider | SUITE 110 |
| City Of The Provider | ORLANDO |
| Zip Code Of The Provider | 328097691 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 8 |
| Number Of Services | 17613 |
| Number Of Medicare Beneficiaries | 6520 |
| Total Submitted Charge Amount | 1955205 |
| Total Medicare Allowed Amount | 1294967.14 |
| Total Medicare Payment Amount | 1009629.76 |
| Total Medicare Standardized Payment Amount | 703824.54 |
| 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 | 8 |
| Number Of Medical Services | 17613 |
| Number Of Medicare Beneficiaries With Medical Services | 6520 |
| Total Medical Submitted Charge Amount | 1955205 |
| Total Medical Medicare Allowed Amount | 1294967.14 |
| Total Medical Medicare Payment Amount | 1009629.76 |
| Total Medical Medicare Standardized Payment Amount | 703824.54 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 114 |
| Number Of Beneficiaries Age 65 to 74 | 2598 |
| Number Of Beneficiaries Age 75 to 84 | 2571 |
| Number Of Beneficiaries Age Greater 84 | 1237 |
| Number Of Female Beneficiaries | 3014 |
| Number Of Male Beneficiaries | 3506 |
| Number Of Non Hispanic White Beneficiaries | 6386 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 39 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 72 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6418 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 102 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 17 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 11 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0443 |