| National Provider Identifier [NPI]: | 1457357667 |
| Last Name Of The Provider | MENDOZA |
| First Name Of The Provider | RAUL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 135 ROCKAWAY TPKE |
| Street Address 2 Of The Provider | STE 103 |
| City Of The Provider | LAWRENCE |
| Zip Code Of The Provider | 115591023 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 33 |
| Number Of Services | 9791 |
| Number Of Medicare Beneficiaries | 4500 |
| Total Submitted Charge Amount | 933080.73 |
| Total Medicare Allowed Amount | 487073.78 |
| Total Medicare Payment Amount | 375069.84 |
| Total Medicare Standardized Payment Amount | 335967.99 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 359 |
| Number Of Medicare Beneficiaries With Drug Services | 106 |
| Total Drug Submitted ChargeAmount | 18192.64 |
| Total Drug Medicare AllowedAmount | 17740.04 |
| Total Drug Medicare PaymentAmount | 14001.89 |
| Total Drug Medicare Standardized Payment Amount | 14001.89 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 31 |
| Number Of Medical Services | 9432 |
| Number Of Medicare Beneficiaries With Medical Services | 4500 |
| Total Medical Submitted Charge Amount | 914888.09 |
| Total Medical Medicare Allowed Amount | 469333.74 |
| Total Medical Medicare Payment Amount | 361067.95 |
| Total Medical Medicare Standardized Payment Amount | 321966.1 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 513 |
| Number Of Beneficiaries Age 65 to 74 | 1191 |
| Number Of Beneficiaries Age 75 to 84 | 1395 |
| Number Of Beneficiaries Age Greater 84 | 1401 |
| Number Of Female Beneficiaries | 2586 |
| Number Of Male Beneficiaries | 1914 |
| Number Of Non Hispanic White Beneficiaries | 3491 |
| Number Of Black or African American Beneficiaries | 476 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 392 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 85 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3141 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1359 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 33 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 53 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 1.995 |