| National Provider Identifier [NPI]: | 1952394199 |
| Last Name Of The Provider | LUGO |
| First Name Of The Provider | GERARDO |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4085 TAMIAMI TRL N |
| Street Address 2 Of The Provider | SUITE B203 |
| City Of The Provider | NAPLES |
| Zip Code Of The Provider | 341038735 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 104 |
| Number Of Services | 28927 |
| Number Of Medicare Beneficiaries | 1614 |
| Total Submitted Charge Amount | 2099605.88 |
| Total Medicare Allowed Amount | 1855026.24 |
| Total Medicare Payment Amount | 1406704.08 |
| Total Medicare Standardized Payment Amount | 1291040.89 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 79 |
| Number Of Medicare Beneficiaries With Drug Services | 61 |
| Total Drug Submitted ChargeAmount | 19476.16 |
| Total Drug Medicare AllowedAmount | 19324.76 |
| Total Drug Medicare PaymentAmount | 14978.71 |
| Total Drug Medicare Standardized Payment Amount | 14978.71 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 103 |
| Number Of Medical Services | 28848 |
| Number Of Medicare Beneficiaries With Medical Services | 1614 |
| Total Medical Submitted Charge Amount | 2080129.72 |
| Total Medical Medicare Allowed Amount | 1835701.48 |
| Total Medical Medicare Payment Amount | 1391725.37 |
| Total Medical Medicare Standardized Payment Amount | 1276062.18 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 21 |
| Number Of Beneficiaries Age 65 to 74 | 543 |
| Number Of Beneficiaries Age 75 to 84 | 721 |
| Number Of Beneficiaries Age Greater 84 | 329 |
| Number Of Female Beneficiaries | 773 |
| Number Of Male Beneficiaries | 841 |
| Number Of Non Hispanic White Beneficiaries | 1553 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 46 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1575 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 39 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 3 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 10 |
| Percent Of With Diabetes | 21 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 61 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.0443 |