| National Provider Identifier [NPI]: | 1851352371 |
| Last Name Of The Provider | PETTIS |
| First Name Of The Provider | CHRISTOPHER |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1600 SW ARCHER RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | GAINESVILLE |
| Zip Code Of The Provider | 326103003 |
| 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 | 155 |
| Number Of Services | 13561 |
| Number Of Medicare Beneficiaries | 7080 |
| Total Submitted Charge Amount | 776374.36 |
| Total Medicare Allowed Amount | 263358.2 |
| Total Medicare Payment Amount | 203147.63 |
| Total Medicare Standardized Payment Amount | 205348.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 3679 |
| Number Of Medicare Beneficiaries With Drug Services | 33 |
| Total Drug Submitted ChargeAmount | 1997.51 |
| Total Drug Medicare AllowedAmount | 974.97 |
| Total Drug Medicare PaymentAmount | 728.15 |
| Total Drug Medicare Standardized Payment Amount | 728.15 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 153 |
| Number Of Medical Services | 9882 |
| Number Of Medicare Beneficiaries With Medical Services | 7078 |
| Total Medical Submitted Charge Amount | 774376.85 |
| Total Medical Medicare Allowed Amount | 262383.23 |
| Total Medical Medicare Payment Amount | 202419.48 |
| Total Medical Medicare Standardized Payment Amount | 204620.13 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1177 |
| Number Of Beneficiaries Age 65 to 74 | 2591 |
| Number Of Beneficiaries Age 75 to 84 | 2093 |
| Number Of Beneficiaries Age Greater 84 | 1219 |
| Number Of Female Beneficiaries | 4615 |
| Number Of Male Beneficiaries | 2465 |
| Number Of Non Hispanic White Beneficiaries | 5252 |
| Number Of Black or African American Beneficiaries | 658 |
| Number Of AsianPacific Islander Beneficiaries | 117 |
| Number Of Hispanic Beneficiaries | 948 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 5383 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1697 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8226 |