| National Provider Identifier [NPI]: | 1093816696 |
| Last Name Of The Provider | PEDONE |
| First Name Of The Provider | JOSEPH |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 129 E. REDSTONE AVE |
| Street Address 2 Of The Provider | SUITE A |
| City Of The Provider | CRESTVIEW |
| Zip Code Of The Provider | 32539 |
| 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 | 101 |
| Number Of Services | 14025 |
| Number Of Medicare Beneficiaries | 2823 |
| Total Submitted Charge Amount | 2390419 |
| Total Medicare Allowed Amount | 1192213.33 |
| Total Medicare Payment Amount | 898164.21 |
| Total Medicare Standardized Payment Amount | 904578.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 768 |
| Number Of Medicare Beneficiaries With Drug Services | 190 |
| Total Drug Submitted ChargeAmount | 70656 |
| Total Drug Medicare AllowedAmount | 40642.55 |
| Total Drug Medicare PaymentAmount | 31720.11 |
| Total Drug Medicare Standardized Payment Amount | 31720.11 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 100 |
| Number Of Medical Services | 13257 |
| Number Of Medicare Beneficiaries With Medical Services | 2823 |
| Total Medical Submitted Charge Amount | 2319763 |
| Total Medical Medicare Allowed Amount | 1151570.78 |
| Total Medical Medicare Payment Amount | 866444.1 |
| Total Medical Medicare Standardized Payment Amount | 872858.73 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 281 |
| Number Of Beneficiaries Age 65 to 74 | 998 |
| Number Of Beneficiaries Age 75 to 84 | 1110 |
| Number Of Beneficiaries Age Greater 84 | 434 |
| Number Of Female Beneficiaries | 1343 |
| Number Of Male Beneficiaries | 1480 |
| Number Of Non Hispanic White Beneficiaries | 2596 |
| Number Of Black or African American Beneficiaries | 135 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 41 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2430 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 393 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6765 |