| National Provider Identifier [NPI]: | 1538143219 |
| Last Name Of The Provider | SANFELIPPO |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1241 WEST STADIUM BOULEVARD |
| Street Address 2 Of The Provider | |
| City Of The Provider | JEFFERSON CITY |
| Zip Code Of The Provider | 65109 |
| State Code Of The Provider | MO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 103 |
| Number Of Services | 18550 |
| Number Of Medicare Beneficiaries | 3425 |
| Total Submitted Charge Amount | 999275 |
| Total Medicare Allowed Amount | 517043.89 |
| Total Medicare Payment Amount | 376935.37 |
| Total Medicare Standardized Payment Amount | 403820.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 4560 |
| Number Of Medicare Beneficiaries With Drug Services | 128 |
| Total Drug Submitted ChargeAmount | 31586 |
| Total Drug Medicare AllowedAmount | 12926.72 |
| Total Drug Medicare PaymentAmount | 10135.94 |
| Total Drug Medicare Standardized Payment Amount | 10135.94 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 96 |
| Number Of Medical Services | 13990 |
| Number Of Medicare Beneficiaries With Medical Services | 3425 |
| Total Medical Submitted Charge Amount | 967689 |
| Total Medical Medicare Allowed Amount | 504117.17 |
| Total Medical Medicare Payment Amount | 366799.43 |
| Total Medical Medicare Standardized Payment Amount | 393684.9 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 432 |
| Number Of Beneficiaries Age 65 to 74 | 1293 |
| Number Of Beneficiaries Age 75 to 84 | 1095 |
| Number Of Beneficiaries Age Greater 84 | 605 |
| Number Of Female Beneficiaries | 1881 |
| Number Of Male Beneficiaries | 1544 |
| Number Of Non Hispanic White Beneficiaries | 3280 |
| Number Of Black or African American Beneficiaries | 91 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 15 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2934 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 491 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4292 |