| National Provider Identifier [NPI]: | 1467450494 |
| Last Name Of The Provider | MESTAS |
| First Name Of The Provider | JORGE |
| 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 | 13813 METRO PKWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339124343 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pulmonary Disease |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 167 |
| Number Of Services | 80045 |
| Number Of Medicare Beneficiaries | 9777 |
| Total Submitted Charge Amount | 2914121 |
| Total Medicare Allowed Amount | 1308100.61 |
| Total Medicare Payment Amount | 1186924.84 |
| Total Medicare Standardized Payment Amount | 1174495.01 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 13 |
| Number Of Drug Services | 2939 |
| Number Of Medicare Beneficiaries With Drug Services | 101 |
| Total Drug Submitted ChargeAmount | 9747 |
| Total Drug Medicare AllowedAmount | 3757.02 |
| Total Drug Medicare PaymentAmount | 3185.26 |
| Total Drug Medicare Standardized Payment Amount | 3185.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 154 |
| Number Of Medical Services | 77106 |
| Number Of Medicare Beneficiaries With Medical Services | 9777 |
| Total Medical Submitted Charge Amount | 2904374 |
| Total Medical Medicare Allowed Amount | 1304343.59 |
| Total Medical Medicare Payment Amount | 1183739.58 |
| Total Medical Medicare Standardized Payment Amount | 1171309.75 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 605 |
| Number Of Beneficiaries Age 65 to 74 | 4564 |
| Number Of Beneficiaries Age 75 to 84 | 3449 |
| Number Of Beneficiaries Age Greater 84 | 1159 |
| Number Of Female Beneficiaries | 5431 |
| Number Of Male Beneficiaries | 4346 |
| Number Of Non Hispanic White Beneficiaries | 9196 |
| Number Of Black or African American Beneficiaries | 141 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 261 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 128 |
| Number Of Beneficiaries With Medicare Only Entitlement | 9171 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 606 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.1053 |