| National Provider Identifier [NPI]: | 1316904022 |
| Last Name Of The Provider | PENTALERI |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1600 PHILLIPS RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | TALLAHASSEE |
| Zip Code Of The Provider | 323085304 |
| 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 | 176 |
| Number Of Services | 17569 |
| Number Of Medicare Beneficiaries | 3449 |
| Total Submitted Charge Amount | 1000636.75 |
| Total Medicare Allowed Amount | 302099.89 |
| Total Medicare Payment Amount | 229390.05 |
| Total Medicare Standardized Payment Amount | 234303.87 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 12250 |
| Number Of Medicare Beneficiaries With Drug Services | 135 |
| Total Drug Submitted ChargeAmount | 13260 |
| Total Drug Medicare AllowedAmount | 2816.47 |
| Total Drug Medicare PaymentAmount | 2174.52 |
| Total Drug Medicare Standardized Payment Amount | 2174.52 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 173 |
| Number Of Medical Services | 5319 |
| Number Of Medicare Beneficiaries With Medical Services | 3442 |
| Total Medical Submitted Charge Amount | 987376.75 |
| Total Medical Medicare Allowed Amount | 299283.42 |
| Total Medical Medicare Payment Amount | 227215.53 |
| Total Medical Medicare Standardized Payment Amount | 232129.35 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 740 |
| Number Of Beneficiaries Age 65 to 74 | 1180 |
| Number Of Beneficiaries Age 75 to 84 | 963 |
| Number Of Beneficiaries Age Greater 84 | 566 |
| Number Of Female Beneficiaries | 2123 |
| Number Of Male Beneficiaries | 1326 |
| Number Of Non Hispanic White Beneficiaries | 2456 |
| Number Of Black or African American Beneficiaries | 902 |
| Number Of AsianPacific Islander Beneficiaries | 19 |
| Number Of Hispanic Beneficiaries | 53 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2268 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1181 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5509 |