| National Provider Identifier [NPI]: | 1891855169 |
| Last Name Of The Provider | DIAZ |
| First Name Of The Provider | ALFONSO |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1825 MARTHA BERRY BLVD NW |
| Street Address 2 Of The Provider | |
| City Of The Provider | ROME |
| Zip Code Of The Provider | 301651625 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 224 |
| Number Of Services | 42754 |
| Number Of Medicare Beneficiaries | 10110 |
| Total Submitted Charge Amount | 4342301.5 |
| Total Medicare Allowed Amount | 949526.16 |
| Total Medicare Payment Amount | 753488.31 |
| Total Medicare Standardized Payment Amount | 830744.16 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2311 |
| Number Of Medicare Beneficiaries With Drug Services | 27 |
| Total Drug Submitted ChargeAmount | 2391 |
| Total Drug Medicare AllowedAmount | 491.75 |
| Total Drug Medicare PaymentAmount | 385.47 |
| Total Drug Medicare Standardized Payment Amount | 385.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 222 |
| Number Of Medical Services | 40443 |
| Number Of Medicare Beneficiaries With Medical Services | 10110 |
| Total Medical Submitted Charge Amount | 4339910.5 |
| Total Medical Medicare Allowed Amount | 949034.41 |
| Total Medical Medicare Payment Amount | 753102.84 |
| Total Medical Medicare Standardized Payment Amount | 830358.69 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 2198 |
| Number Of Beneficiaries Age 65 to 74 | 4194 |
| Number Of Beneficiaries Age 75 to 84 | 2770 |
| Number Of Beneficiaries Age Greater 84 | 948 |
| Number Of Female Beneficiaries | 5999 |
| Number Of Male Beneficiaries | 4111 |
| Number Of Non Hispanic White Beneficiaries | 9181 |
| Number Of Black or African American Beneficiaries | 733 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 104 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 56 |
| Number Of Beneficiaries With Medicare Only Entitlement | 7596 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2514 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.371 |