| National Provider Identifier [NPI]: | 1083602817 |
| Last Name Of The Provider | CORTES |
| First Name Of The Provider | EDSON |
| Middle Initial Of The Provider | G |
| 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 | 34474 |
| 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 | 197 |
| Number Of Services | 16177 |
| Number Of Medicare Beneficiaries | 3871 |
| Total Submitted Charge Amount | 1125951.4 |
| Total Medicare Allowed Amount | 301556.86 |
| Total Medicare Payment Amount | 221640.99 |
| Total Medicare Standardized Payment Amount | 227291.26 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 10405 |
| Number Of Medicare Beneficiaries With Drug Services | 154 |
| Total Drug Submitted ChargeAmount | 29365.5 |
| Total Drug Medicare AllowedAmount | 3436.25 |
| Total Drug Medicare PaymentAmount | 2657.44 |
| Total Drug Medicare Standardized Payment Amount | 2657.44 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 191 |
| Number Of Medical Services | 5772 |
| Number Of Medicare Beneficiaries With Medical Services | 3869 |
| Total Medical Submitted Charge Amount | 1096585.9 |
| Total Medical Medicare Allowed Amount | 298120.61 |
| Total Medical Medicare Payment Amount | 218983.55 |
| Total Medical Medicare Standardized Payment Amount | 224633.82 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 577 |
| Number Of Beneficiaries Age 65 to 74 | 1289 |
| Number Of Beneficiaries Age 75 to 84 | 1287 |
| Number Of Beneficiaries Age Greater 84 | 718 |
| Number Of Female Beneficiaries | 2167 |
| Number Of Male Beneficiaries | 1704 |
| Number Of Non Hispanic White Beneficiaries | 3330 |
| Number Of Black or African American Beneficiaries | 289 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 193 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2977 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 894 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 66 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.9244 |