| National Provider Identifier [NPI]: | 1639129125 |
| Last Name Of The Provider | LAUTERSZTAIN |
| First Name Of The Provider | JULIO |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M. D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3000 MEDICAL PARK DR |
| Street Address 2 Of The Provider | UNIT 530 |
| City Of The Provider | TAMPA |
| Zip Code Of The Provider | 336134680 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Medical Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 196 |
| Number Of Services | 162250 |
| Number Of Medicare Beneficiaries | 913 |
| Total Submitted Charge Amount | 5142672 |
| Total Medicare Allowed Amount | 1910074.62 |
| Total Medicare Payment Amount | 1498033.68 |
| Total Medicare Standardized Payment Amount | 1491640.88 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 81 |
| Number Of Drug Services | 149104 |
| Number Of Medicare Beneficiaries With Drug Services | 379 |
| Total Drug Submitted ChargeAmount | 3398902 |
| Total Drug Medicare AllowedAmount | 1284507.08 |
| Total Drug Medicare PaymentAmount | 1001459.2 |
| Total Drug Medicare Standardized Payment Amount | 1001459.2 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 115 |
| Number Of Medical Services | 13146 |
| Number Of Medicare Beneficiaries With Medical Services | 912 |
| Total Medical Submitted Charge Amount | 1743770 |
| Total Medical Medicare Allowed Amount | 625567.54 |
| Total Medical Medicare Payment Amount | 496574.48 |
| Total Medical Medicare Standardized Payment Amount | 490181.68 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 104 |
| Number Of Beneficiaries Age 65 to 74 | 388 |
| Number Of Beneficiaries Age 75 to 84 | 304 |
| Number Of Beneficiaries Age Greater 84 | 117 |
| Number Of Female Beneficiaries | 551 |
| Number Of Male Beneficiaries | 362 |
| Number Of Non Hispanic White Beneficiaries | 656 |
| Number Of Black or African American Beneficiaries | 99 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 138 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 728 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 185 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 48 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 2.1813 |