| National Provider Identifier [NPI]: | 1811139215 |
| Last Name Of The Provider | GREGORY |
| First Name Of The Provider | JARETT |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1600 LAKELAND HILLS BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAKELAND |
| Zip Code Of The Provider | 338053019 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 137 |
| Number Of Services | 57975 |
| Number Of Medicare Beneficiaries | 2567 |
| Total Submitted Charge Amount | 2237746.95 |
| Total Medicare Allowed Amount | 1086083.41 |
| Total Medicare Payment Amount | 833130.57 |
| Total Medicare Standardized Payment Amount | 836094.05 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 72 |
| Number Of Drug Services | 52416 |
| Number Of Medicare Beneficiaries With Drug Services | 1519 |
| Total Drug Submitted ChargeAmount | 1585054.95 |
| Total Drug Medicare AllowedAmount | 760714.42 |
| Total Drug Medicare PaymentAmount | 596198.21 |
| Total Drug Medicare Standardized Payment Amount | 596198.21 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 65 |
| Number Of Medical Services | 5559 |
| Number Of Medicare Beneficiaries With Medical Services | 2546 |
| Total Medical Submitted Charge Amount | 652692 |
| Total Medical Medicare Allowed Amount | 325368.99 |
| Total Medical Medicare Payment Amount | 236932.36 |
| Total Medical Medicare Standardized Payment Amount | 239895.84 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 184 |
| Number Of Beneficiaries Age 65 to 74 | 920 |
| Number Of Beneficiaries Age 75 to 84 | 982 |
| Number Of Beneficiaries Age Greater 84 | 481 |
| Number Of Female Beneficiaries | 1591 |
| Number Of Male Beneficiaries | 976 |
| Number Of Non Hispanic White Beneficiaries | 2357 |
| Number Of Black or African American Beneficiaries | 119 |
| Number Of AsianPacific Islander Beneficiaries | 11 |
| Number Of Hispanic Beneficiaries | 58 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2336 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 231 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.2478 |