| National Provider Identifier [NPI]: | 1134183718 |
| Last Name Of The Provider | HENSLEY |
| First Name Of The Provider | CYNTHIA |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D., P.A. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 26661 DUBLIN WOODS CIRCLE |
| Street Address 2 Of The Provider | |
| City Of The Provider | BONITA SPRINGS |
| Zip Code Of The Provider | 34135 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 72 |
| Number Of Services | 39750 |
| Number Of Medicare Beneficiaries | 2538 |
| Total Submitted Charge Amount | 2130791.96 |
| Total Medicare Allowed Amount | 1849956.99 |
| Total Medicare Payment Amount | 1385498.21 |
| Total Medicare Standardized Payment Amount | 1283094.08 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 116 |
| Number Of Medicare Beneficiaries With Drug Services | 100 |
| Total Drug Submitted ChargeAmount | 25634.44 |
| Total Drug Medicare AllowedAmount | 25551.29 |
| Total Drug Medicare PaymentAmount | 19959.09 |
| Total Drug Medicare Standardized Payment Amount | 19959.09 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 70 |
| Number Of Medical Services | 39634 |
| Number Of Medicare Beneficiaries With Medical Services | 2538 |
| Total Medical Submitted Charge Amount | 2105157.52 |
| Total Medical Medicare Allowed Amount | 1824405.7 |
| Total Medical Medicare Payment Amount | 1365539.12 |
| Total Medical Medicare Standardized Payment Amount | 1263134.99 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 11 |
| Number Of Beneficiaries Age 65 to 74 | 1096 |
| Number Of Beneficiaries Age 75 to 84 | 1168 |
| Number Of Beneficiaries Age Greater 84 | 263 |
| Number Of Female Beneficiaries | 1429 |
| Number Of Male Beneficiaries | 1109 |
| Number Of Non Hispanic White Beneficiaries | 2493 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2526 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 12 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 4 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 8 |
| Percent Of With Chronic Kidney Disease | 13 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 10 |
| Percent Of With Diabetes | 18 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 59 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.898 |