| National Provider Identifier [NPI]: | 1609879329 |
| Last Name Of The Provider | VITARELLO |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 180 THOMAS JOHNSON DR |
| Street Address 2 Of The Provider | SUITE 202 |
| City Of The Provider | FREDERICK |
| Zip Code Of The Provider | 217024409 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 58 |
| Number Of Services | 14083 |
| Number Of Medicare Beneficiaries | 1860 |
| Total Submitted Charge Amount | 3506141.42 |
| Total Medicare Allowed Amount | 1799122.93 |
| Total Medicare Payment Amount | 1365299.82 |
| Total Medicare Standardized Payment Amount | 1356711.41 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 4756 |
| Number Of Medicare Beneficiaries With Drug Services | 547 |
| Total Drug Submitted ChargeAmount | 43250.4 |
| Total Drug Medicare AllowedAmount | 32911.09 |
| Total Drug Medicare PaymentAmount | 25131.68 |
| Total Drug Medicare Standardized Payment Amount | 25131.68 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 53 |
| Number Of Medical Services | 9327 |
| Number Of Medicare Beneficiaries With Medical Services | 1860 |
| Total Medical Submitted Charge Amount | 3462891.02 |
| Total Medical Medicare Allowed Amount | 1766211.84 |
| Total Medical Medicare Payment Amount | 1340168.14 |
| Total Medical Medicare Standardized Payment Amount | 1331579.73 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 136 |
| Number Of Beneficiaries Age 65 to 74 | 809 |
| Number Of Beneficiaries Age 75 to 84 | 605 |
| Number Of Beneficiaries Age Greater 84 | 310 |
| Number Of Female Beneficiaries | 988 |
| Number Of Male Beneficiaries | 872 |
| Number Of Non Hispanic White Beneficiaries | 1707 |
| Number Of Black or African American Beneficiaries | 88 |
| Number Of AsianPacific Islander Beneficiaries | 12 |
| Number Of Hispanic Beneficiaries | 29 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 24 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1695 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 165 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.3552 |