| National Provider Identifier [NPI]: | 1457383259 |
| Last Name Of The Provider | ZALDUONDO |
| First Name Of The Provider | FERNANDO |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 280 AVE MARGINAL KENNEDY |
| Street Address 2 Of The Provider | |
| City Of The Provider | GUAYNABO |
| Zip Code Of The Provider | 009681746 |
| State Code Of The Provider | PR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 130 |
| Number Of Services | 34447 |
| Number Of Medicare Beneficiaries | 1324 |
| Total Submitted Charge Amount | 686614.95 |
| Total Medicare Allowed Amount | 629144.26 |
| Total Medicare Payment Amount | 471496.92 |
| Total Medicare Standardized Payment Amount | 589487.81 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 31906 |
| Number Of Medicare Beneficiaries With Drug Services | 607 |
| Total Drug Submitted ChargeAmount | 12346.15 |
| Total Drug Medicare AllowedAmount | 12081.97 |
| Total Drug Medicare PaymentAmount | 8695.97 |
| Total Drug Medicare Standardized Payment Amount | 8695.97 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 124 |
| Number Of Medical Services | 2541 |
| Number Of Medicare Beneficiaries With Medical Services | 1321 |
| Total Medical Submitted Charge Amount | 674268.8 |
| Total Medical Medicare Allowed Amount | 617062.29 |
| Total Medical Medicare Payment Amount | 462800.95 |
| Total Medical Medicare Standardized Payment Amount | 580791.84 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 133 |
| Number Of Beneficiaries Age 65 to 74 | 565 |
| Number Of Beneficiaries Age 75 to 84 | 493 |
| Number Of Beneficiaries Age Greater 84 | 133 |
| Number Of Female Beneficiaries | 808 |
| Number Of Male Beneficiaries | 516 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 1293 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | |
| Percent Of With Atrial Fibrillation | 4 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 61 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 20 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.1844 |