| National Provider Identifier [NPI]: | 1497868731 |
| Last Name Of The Provider | PACIFICO |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1540 S TAMIAMI TRL |
| Street Address 2 Of The Provider | SUITE 401 |
| City Of The Provider | SARASOTA |
| Zip Code Of The Provider | 342392940 |
| 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 | 75 |
| Number Of Services | 11241 |
| Number Of Medicare Beneficiaries | 3158 |
| Total Submitted Charge Amount | 3119797 |
| Total Medicare Allowed Amount | 1201006.55 |
| Total Medicare Payment Amount | 919842.22 |
| Total Medicare Standardized Payment Amount | 932713.81 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 851 |
| Number Of Medicare Beneficiaries With Drug Services | 204 |
| Total Drug Submitted ChargeAmount | 61235 |
| Total Drug Medicare AllowedAmount | 43202.02 |
| Total Drug Medicare PaymentAmount | 33625.18 |
| Total Drug Medicare Standardized Payment Amount | 33625.18 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 73 |
| Number Of Medical Services | 10390 |
| Number Of Medicare Beneficiaries With Medical Services | 3158 |
| Total Medical Submitted Charge Amount | 3058562 |
| Total Medical Medicare Allowed Amount | 1157804.53 |
| Total Medical Medicare Payment Amount | 886217.04 |
| Total Medical Medicare Standardized Payment Amount | 899088.63 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 86 |
| Number Of Beneficiaries Age 65 to 74 | 1195 |
| Number Of Beneficiaries Age 75 to 84 | 1239 |
| Number Of Beneficiaries Age Greater 84 | 638 |
| Number Of Female Beneficiaries | 1499 |
| Number Of Male Beneficiaries | 1659 |
| Number Of Non Hispanic White Beneficiaries | 3074 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 34 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3004 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 154 |
| Percent Of With Atrial Fibrillation | 34 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.3802 |