| National Provider Identifier [NPI]: | 1184627291 |
| Last Name Of The Provider | CONSTANTIN |
| First Name Of The Provider | JONATHAN |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1824 KING STREET |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | JACKSONVILLE |
| Zip Code Of The Provider | 322044736 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 52 |
| Number Of Services | 12608 |
| Number Of Medicare Beneficiaries | 5403 |
| Total Submitted Charge Amount | 1734587 |
| Total Medicare Allowed Amount | 562763.4 |
| Total Medicare Payment Amount | 415117.35 |
| Total Medicare Standardized Payment Amount | 425122.93 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 104 |
| Number Of Medicare Beneficiaries With Drug Services | 26 |
| Total Drug Submitted ChargeAmount | 16744 |
| Total Drug Medicare AllowedAmount | 5507.92 |
| Total Drug Medicare PaymentAmount | 4151.58 |
| Total Drug Medicare Standardized Payment Amount | 4151.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 51 |
| Number Of Medical Services | 12504 |
| Number Of Medicare Beneficiaries With Medical Services | 5403 |
| Total Medical Submitted Charge Amount | 1717843 |
| Total Medical Medicare Allowed Amount | 557255.48 |
| Total Medical Medicare Payment Amount | 410965.77 |
| Total Medical Medicare Standardized Payment Amount | 420971.35 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 922 |
| Number Of Beneficiaries Age 65 to 74 | 1865 |
| Number Of Beneficiaries Age 75 to 84 | 1730 |
| Number Of Beneficiaries Age Greater 84 | 886 |
| Number Of Female Beneficiaries | 3050 |
| Number Of Male Beneficiaries | 2353 |
| Number Of Non Hispanic White Beneficiaries | 3939 |
| Number Of Black or African American Beneficiaries | 1229 |
| Number Of AsianPacific Islander Beneficiaries | 56 |
| Number Of Hispanic Beneficiaries | 125 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4017 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1386 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.9197 |