| National Provider Identifier [NPI]: | 1881635191 |
| Last Name Of The Provider | HURTADO |
| First Name Of The Provider | ALFREDO |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1613 HARRISON PKWY STE 200 |
| Street Address 2 Of The Provider | |
| City Of The Provider | SUNRISE |
| Zip Code Of The Provider | 333232853 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 169 |
| Number Of Services | 16096 |
| Number Of Medicare Beneficiaries | 3584 |
| Total Submitted Charge Amount | 1922461.34 |
| Total Medicare Allowed Amount | 461116.56 |
| Total Medicare Payment Amount | 365089.55 |
| Total Medicare Standardized Payment Amount | 376851.36 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 9475 |
| Number Of Medicare Beneficiaries With Drug Services | 143 |
| Total Drug Submitted ChargeAmount | 13135.32 |
| Total Drug Medicare AllowedAmount | 3258.61 |
| Total Drug Medicare PaymentAmount | 2443.41 |
| Total Drug Medicare Standardized Payment Amount | 2443.41 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 166 |
| Number Of Medical Services | 6621 |
| Number Of Medicare Beneficiaries With Medical Services | 3581 |
| Total Medical Submitted Charge Amount | 1909326.02 |
| Total Medical Medicare Allowed Amount | 457857.95 |
| Total Medical Medicare Payment Amount | 362646.14 |
| Total Medical Medicare Standardized Payment Amount | 374407.95 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 591 |
| Number Of Beneficiaries Age 65 to 74 | 1486 |
| Number Of Beneficiaries Age 75 to 84 | 1007 |
| Number Of Beneficiaries Age Greater 84 | 500 |
| Number Of Female Beneficiaries | 2316 |
| Number Of Male Beneficiaries | 1268 |
| Number Of Non Hispanic White Beneficiaries | 2534 |
| Number Of Black or African American Beneficiaries | 311 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 663 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 44 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2785 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 799 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7067 |