| National Provider Identifier [NPI]: | 1497956569 |
| Last Name Of The Provider | RICOTTI |
| First Name Of The Provider | CARLOS |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 16250 NW 59TH AVE |
| Street Address 2 Of The Provider | SUITE 206 |
| City Of The Provider | MIAMI LAKES |
| Zip Code Of The Provider | 330147542 |
| 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 | 11 |
| Number Of Services | 10325 |
| Number Of Medicare Beneficiaries | 4610 |
| Total Submitted Charge Amount | 1690765 |
| Total Medicare Allowed Amount | 729889.81 |
| Total Medicare Payment Amount | 549939.41 |
| Total Medicare Standardized Payment Amount | 427175.53 |
| 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 | 11 |
| Number Of Medical Services | 10325 |
| Number Of Medicare Beneficiaries With Medical Services | 4610 |
| Total Medical Submitted Charge Amount | 1690765 |
| Total Medical Medicare Allowed Amount | 729889.81 |
| Total Medical Medicare Payment Amount | 549939.41 |
| Total Medical Medicare Standardized Payment Amount | 427175.53 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 206 |
| Number Of Beneficiaries Age 65 to 74 | 1798 |
| Number Of Beneficiaries Age 75 to 84 | 1655 |
| Number Of Beneficiaries Age Greater 84 | 951 |
| Number Of Female Beneficiaries | 2267 |
| Number Of Male Beneficiaries | 2343 |
| Number Of Non Hispanic White Beneficiaries | 3960 |
| Number Of Black or African American Beneficiaries | 49 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 525 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4165 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 445 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.1793 |