| National Provider Identifier [NPI]: | 1598738908 |
| Last Name Of The Provider | GONZALEZ-CANO |
| First Name Of The Provider | JORGE |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1600 LAKELAND HILLS BLVD. |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAKELAND |
| Zip Code Of The Provider | 338053019 |
| 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 | 44 |
| Number Of Services | 7437 |
| Number Of Medicare Beneficiaries | 3389 |
| Total Submitted Charge Amount | 603228 |
| Total Medicare Allowed Amount | 338220.08 |
| Total Medicare Payment Amount | 289338.67 |
| Total Medicare Standardized Payment Amount | 293653.88 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 2979 |
| Number Of Medicare Beneficiaries With Drug Services | 2761 |
| Total Drug Submitted ChargeAmount | 164562 |
| Total Drug Medicare AllowedAmount | 104277.31 |
| Total Drug Medicare PaymentAmount | 100628.69 |
| Total Drug Medicare Standardized Payment Amount | 100628.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 38 |
| Number Of Medical Services | 4458 |
| Number Of Medicare Beneficiaries With Medical Services | 3386 |
| Total Medical Submitted Charge Amount | 438666 |
| Total Medical Medicare Allowed Amount | 233942.77 |
| Total Medical Medicare Payment Amount | 188709.98 |
| Total Medical Medicare Standardized Payment Amount | 193025.19 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 106 |
| Number Of Beneficiaries Age 65 to 74 | 1338 |
| Number Of Beneficiaries Age 75 to 84 | 1364 |
| Number Of Beneficiaries Age Greater 84 | 581 |
| Number Of Female Beneficiaries | 1857 |
| Number Of Male Beneficiaries | 1532 |
| Number Of Non Hispanic White Beneficiaries | 3163 |
| Number Of Black or African American Beneficiaries | 70 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 92 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3250 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 139 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 12 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 34 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0763 |