| National Provider Identifier [NPI]: | 1154360642 |
| Last Name Of The Provider | IANNOTTI |
| First Name Of The Provider | NICHOLAS |
| Middle Initial Of The Provider | O |
| Credentials Of The Provider | MD, FACP |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1871 SE TIFFANY AVE |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | PORT ST LUCIE |
| Zip Code Of The Provider | 349527585 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 148 |
| Number Of Services | 379760 |
| Number Of Medicare Beneficiaries | 1611 |
| Total Submitted Charge Amount | 8984887.47 |
| Total Medicare Allowed Amount | 4192232.53 |
| Total Medicare Payment Amount | 3294173.04 |
| Total Medicare Standardized Payment Amount | 3251719.01 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 73 |
| Number Of Drug Services | 353000 |
| Number Of Medicare Beneficiaries With Drug Services | 537 |
| Total Drug Submitted ChargeAmount | 6532374.47 |
| Total Drug Medicare AllowedAmount | 3123309.4 |
| Total Drug Medicare PaymentAmount | 2439494.93 |
| Total Drug Medicare Standardized Payment Amount | 2439494.93 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 75 |
| Number Of Medical Services | 26760 |
| Number Of Medicare Beneficiaries With Medical Services | 1611 |
| Total Medical Submitted Charge Amount | 2452513 |
| Total Medical Medicare Allowed Amount | 1068923.13 |
| Total Medical Medicare Payment Amount | 854678.11 |
| Total Medical Medicare Standardized Payment Amount | 812224.08 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 136 |
| Number Of Beneficiaries Age 65 to 74 | 652 |
| Number Of Beneficiaries Age 75 to 84 | 576 |
| Number Of Beneficiaries Age Greater 84 | 247 |
| Number Of Female Beneficiaries | 985 |
| Number Of Male Beneficiaries | 626 |
| Number Of Non Hispanic White Beneficiaries | 1418 |
| Number Of Black or African American Beneficiaries | 108 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 58 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 16 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1443 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 168 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 50 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 2.0582 |