| National Provider Identifier [NPI]: | 1760442560 |
| Last Name Of The Provider | EVERSOLE |
| First Name Of The Provider | AMY |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1001 SE MONTEREY COMMONS BLVD |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | STUART |
| Zip Code Of The Provider | 349963329 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 60 |
| Number Of Services | 10302 |
| Number Of Medicare Beneficiaries | 2721 |
| Total Submitted Charge Amount | 1979586 |
| Total Medicare Allowed Amount | 1109026.69 |
| Total Medicare Payment Amount | 832782.27 |
| Total Medicare Standardized Payment Amount | 815132.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1661 |
| Number Of Medicare Beneficiaries With Drug Services | 398 |
| Total Drug Submitted ChargeAmount | 97930 |
| Total Drug Medicare AllowedAmount | 83315.92 |
| Total Drug Medicare PaymentAmount | 64153.47 |
| Total Drug Medicare Standardized Payment Amount | 64153.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 57 |
| Number Of Medical Services | 8641 |
| Number Of Medicare Beneficiaries With Medical Services | 2721 |
| Total Medical Submitted Charge Amount | 1881656 |
| Total Medical Medicare Allowed Amount | 1025710.77 |
| Total Medical Medicare Payment Amount | 768628.8 |
| Total Medical Medicare Standardized Payment Amount | 750979.15 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 111 |
| Number Of Beneficiaries Age 65 to 74 | 966 |
| Number Of Beneficiaries Age 75 to 84 | 1122 |
| Number Of Beneficiaries Age Greater 84 | 522 |
| Number Of Female Beneficiaries | 1358 |
| Number Of Male Beneficiaries | 1363 |
| Number Of Non Hispanic White Beneficiaries | 2587 |
| Number Of Black or African American Beneficiaries | 48 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 51 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2594 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 127 |
| Percent Of With Atrial Fibrillation | 31 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.3953 |