| National Provider Identifier [NPI]: | 1942282017 |
| Last Name Of The Provider | ELGARRESTA |
| First Name Of The Provider | LAWRENCE |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8900 N KENDALL DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | MIAMI |
| Zip Code Of The Provider | 331762118 |
| 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 | 147 |
| Number Of Services | 7897 |
| Number Of Medicare Beneficiaries | 3885 |
| Total Submitted Charge Amount | 1648603 |
| Total Medicare Allowed Amount | 337975.56 |
| Total Medicare Payment Amount | 257809.08 |
| Total Medicare Standardized Payment Amount | 247270.03 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 2851 |
| Number Of Medicare Beneficiaries With Drug Services | 32 |
| Total Drug Submitted ChargeAmount | 11655 |
| Total Drug Medicare AllowedAmount | 612.07 |
| Total Drug Medicare PaymentAmount | 474.12 |
| Total Drug Medicare Standardized Payment Amount | 474.12 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 146 |
| Number Of Medical Services | 5046 |
| Number Of Medicare Beneficiaries With Medical Services | 3885 |
| Total Medical Submitted Charge Amount | 1636948 |
| Total Medical Medicare Allowed Amount | 337363.49 |
| Total Medical Medicare Payment Amount | 257334.96 |
| Total Medical Medicare Standardized Payment Amount | 246795.91 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 477 |
| Number Of Beneficiaries Age 65 to 74 | 1284 |
| Number Of Beneficiaries Age 75 to 84 | 1219 |
| Number Of Beneficiaries Age Greater 84 | 905 |
| Number Of Female Beneficiaries | 2437 |
| Number Of Male Beneficiaries | 1448 |
| Number Of Non Hispanic White Beneficiaries | 1376 |
| Number Of Black or African American Beneficiaries | 230 |
| Number Of AsianPacific Islander Beneficiaries | 33 |
| Number Of Hispanic Beneficiaries | 2211 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1857 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2028 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 31 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 41 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 19 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.1998 |