| National Provider Identifier [NPI]: | 1275521023 |
| Last Name Of The Provider | RIVERA |
| First Name Of The Provider | JUAN |
| Middle Initial Of The Provider | I |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 315 E OLYMPIA AVE |
| Street Address 2 Of The Provider | #111 |
| City Of The Provider | PUNTA GORDA |
| Zip Code Of The Provider | 339503831 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 186 |
| Number Of Services | 25075 |
| Number Of Medicare Beneficiaries | 1340 |
| Total Submitted Charge Amount | 1859351.24 |
| Total Medicare Allowed Amount | 868651.29 |
| Total Medicare Payment Amount | 687482.19 |
| Total Medicare Standardized Payment Amount | 692188.36 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 26 |
| Number Of Drug Services | 3380 |
| Number Of Medicare Beneficiaries With Drug Services | 550 |
| Total Drug Submitted ChargeAmount | 47899.3 |
| Total Drug Medicare AllowedAmount | 24619.04 |
| Total Drug Medicare PaymentAmount | 21582.14 |
| Total Drug Medicare Standardized Payment Amount | 21582.14 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 160 |
| Number Of Medical Services | 21695 |
| Number Of Medicare Beneficiaries With Medical Services | 1340 |
| Total Medical Submitted Charge Amount | 1811451.94 |
| Total Medical Medicare Allowed Amount | 844032.25 |
| Total Medical Medicare Payment Amount | 665900.05 |
| Total Medical Medicare Standardized Payment Amount | 670606.22 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 99 |
| Number Of Beneficiaries Age 65 to 74 | 558 |
| Number Of Beneficiaries Age 75 to 84 | 493 |
| Number Of Beneficiaries Age Greater 84 | 190 |
| Number Of Female Beneficiaries | 738 |
| Number Of Male Beneficiaries | 602 |
| Number Of Non Hispanic White Beneficiaries | 1243 |
| Number Of Black or African American Beneficiaries | 34 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 36 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1222 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 118 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.2242 |