| National Provider Identifier [NPI]: | 1568621704 |
| Last Name Of The Provider | PAPAVERO |
| First Name Of The Provider | VERONICA |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7331 GLADIOLUS DRIVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 33908 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 7 |
| Number Of Services | 21118 |
| Number Of Medicare Beneficiaries | 7829 |
| Total Submitted Charge Amount | 1105324.13 |
| Total Medicare Allowed Amount | 1100775.37 |
| Total Medicare Payment Amount | 835121.3 |
| Total Medicare Standardized Payment Amount | 597686.05 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 7 |
| Number Of Medical Services | 21118 |
| Number Of Medicare Beneficiaries With Medical Services | 7829 |
| Total Medical Submitted Charge Amount | 1105324.13 |
| Total Medical Medicare Allowed Amount | 1100775.37 |
| Total Medical Medicare Payment Amount | 835121.3 |
| Total Medical Medicare Standardized Payment Amount | 597686.05 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 254 |
| Number Of Beneficiaries Age 65 to 74 | 4006 |
| Number Of Beneficiaries Age 75 to 84 | 2637 |
| Number Of Beneficiaries Age Greater 84 | 932 |
| Number Of Female Beneficiaries | 3636 |
| Number Of Male Beneficiaries | 4193 |
| Number Of Non Hispanic White Beneficiaries | 7536 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 29 |
| Number Of Hispanic Beneficiaries | 117 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 121 |
| Number Of Beneficiaries With Medicare Only Entitlement | 7592 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 237 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 17 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 12 |
| Percent Of With Diabetes | 24 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 62 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9855 |