| National Provider Identifier [NPI]: | 1992745814 |
| Last Name Of The Provider | CAVALLO |
| First Name Of The Provider | FRANCESCO |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12121 RICHMOND AVENUE |
| Street Address 2 Of The Provider | SUITE 109 |
| City Of The Provider | HOUSTON |
| Zip Code Of The Provider | 770822420 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 185 |
| Number Of Services | 8349 |
| Number Of Medicare Beneficiaries | 3757 |
| Total Submitted Charge Amount | 814961.89 |
| Total Medicare Allowed Amount | 193058.29 |
| Total Medicare Payment Amount | 150552.08 |
| Total Medicare Standardized Payment Amount | 155604.2 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 802 |
| Number Of Medicare Beneficiaries With Drug Services | 13 |
| Total Drug Submitted ChargeAmount | 529 |
| Total Drug Medicare AllowedAmount | 312.59 |
| Total Drug Medicare PaymentAmount | 206.16 |
| Total Drug Medicare Standardized Payment Amount | 206.16 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 183 |
| Number Of Medical Services | 7547 |
| Number Of Medicare Beneficiaries With Medical Services | 3757 |
| Total Medical Submitted Charge Amount | 814432.89 |
| Total Medical Medicare Allowed Amount | 192745.7 |
| Total Medical Medicare Payment Amount | 150345.92 |
| Total Medical Medicare Standardized Payment Amount | 155398.04 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 618 |
| Number Of Beneficiaries Age 65 to 74 | 1300 |
| Number Of Beneficiaries Age 75 to 84 | 1160 |
| Number Of Beneficiaries Age Greater 84 | 679 |
| Number Of Female Beneficiaries | 2366 |
| Number Of Male Beneficiaries | 1391 |
| Number Of Non Hispanic White Beneficiaries | 2660 |
| Number Of Black or African American Beneficiaries | 511 |
| Number Of AsianPacific Islander Beneficiaries | 53 |
| Number Of Hispanic Beneficiaries | 507 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2662 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1095 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6553 |