| National Provider Identifier [NPI]: | 1578773917 |
| Last Name Of The Provider | ABRANTES |
| First Name Of The Provider | CLARISSA |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 10435 SE 170TH PL |
| Street Address 2 Of The Provider | |
| City Of The Provider | SUMMERFIELD |
| Zip Code Of The Provider | 344918998 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 179 |
| Number Of Services | 38339 |
| Number Of Medicare Beneficiaries | 1504 |
| Total Submitted Charge Amount | 2461903.85 |
| Total Medicare Allowed Amount | 1188578.86 |
| Total Medicare Payment Amount | 954666.45 |
| Total Medicare Standardized Payment Amount | 950975.61 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 13 |
| Number Of Drug Services | 10865 |
| Number Of Medicare Beneficiaries With Drug Services | 701 |
| Total Drug Submitted ChargeAmount | 108761.85 |
| Total Drug Medicare AllowedAmount | 54365.67 |
| Total Drug Medicare PaymentAmount | 49065.98 |
| Total Drug Medicare Standardized Payment Amount | 49065.98 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 166 |
| Number Of Medical Services | 27474 |
| Number Of Medicare Beneficiaries With Medical Services | 1504 |
| Total Medical Submitted Charge Amount | 2353142 |
| Total Medical Medicare Allowed Amount | 1134213.19 |
| Total Medical Medicare Payment Amount | 905600.47 |
| Total Medical Medicare Standardized Payment Amount | 901909.63 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 55 |
| Number Of Beneficiaries Age 65 to 74 | 750 |
| Number Of Beneficiaries Age 75 to 84 | 565 |
| Number Of Beneficiaries Age Greater 84 | 134 |
| Number Of Female Beneficiaries | 896 |
| Number Of Male Beneficiaries | 608 |
| Number Of Non Hispanic White Beneficiaries | 1416 |
| Number Of Black or African American Beneficiaries | 19 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 24 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1446 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 58 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.1793 |