| National Provider Identifier [NPI]: | 1861450686 |
| Last Name Of The Provider | LATRENTA |
| First Name Of The Provider | LINDA |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 49 LAKE AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | GREENWICH |
| Zip Code Of The Provider | 068304501 |
| State Code Of The Provider | CT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 153 |
| Number Of Services | 5865 |
| Number Of Medicare Beneficiaries | 3118 |
| Total Submitted Charge Amount | 200849.37 |
| Total Medicare Allowed Amount | 186954.77 |
| Total Medicare Payment Amount | 151882.08 |
| Total Medicare Standardized Payment Amount | 145805.71 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 17 |
| Number Of Medicare Beneficiaries With Drug Services | 17 |
| Total Drug Submitted ChargeAmount | 18.7 |
| Total Drug Medicare AllowedAmount | 18.14 |
| Total Drug Medicare PaymentAmount | 14.2 |
| Total Drug Medicare Standardized Payment Amount | 14.2 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 152 |
| Number Of Medical Services | 5848 |
| Number Of Medicare Beneficiaries With Medical Services | 3118 |
| Total Medical Submitted Charge Amount | 200830.67 |
| Total Medical Medicare Allowed Amount | 186936.63 |
| Total Medical Medicare Payment Amount | 151867.88 |
| Total Medical Medicare Standardized Payment Amount | 145791.51 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 149 |
| Number Of Beneficiaries Age 65 to 74 | 1190 |
| Number Of Beneficiaries Age 75 to 84 | 1035 |
| Number Of Beneficiaries Age Greater 84 | 744 |
| Number Of Female Beneficiaries | 2245 |
| Number Of Male Beneficiaries | 873 |
| Number Of Non Hispanic White Beneficiaries | 2784 |
| Number Of Black or African American Beneficiaries | 80 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 125 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 71 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2715 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 403 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 21 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 63 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.2973 |