| National Provider Identifier [NPI]: | 1902806151 |
| Last Name Of The Provider | GONZALEZ |
| First Name Of The Provider | MELCHOR |
| 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 | 61 MEMORIAL MEDICAL PKWY |
| Street Address 2 Of The Provider | SUITE 3816 |
| City Of The Provider | PALM COAST |
| Zip Code Of The Provider | 321645981 |
| 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 | 69 |
| Number Of Services | 9835.7 |
| Number Of Medicare Beneficiaries | 1823 |
| Total Submitted Charge Amount | 903188.49 |
| Total Medicare Allowed Amount | 658690.3 |
| Total Medicare Payment Amount | 492868.46 |
| Total Medicare Standardized Payment Amount | 495210.59 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1334.7 |
| Number Of Medicare Beneficiaries With Drug Services | 46 |
| Total Drug Submitted ChargeAmount | 23975 |
| Total Drug Medicare AllowedAmount | 9136.19 |
| Total Drug Medicare PaymentAmount | 7162.71 |
| Total Drug Medicare Standardized Payment Amount | 7162.71 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 67 |
| Number Of Medical Services | 8501 |
| Number Of Medicare Beneficiaries With Medical Services | 1823 |
| Total Medical Submitted Charge Amount | 879213.49 |
| Total Medical Medicare Allowed Amount | 649554.11 |
| Total Medical Medicare Payment Amount | 485705.75 |
| Total Medical Medicare Standardized Payment Amount | 488047.88 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 149 |
| Number Of Beneficiaries Age 65 to 74 | 662 |
| Number Of Beneficiaries Age 75 to 84 | 664 |
| Number Of Beneficiaries Age Greater 84 | 348 |
| Number Of Female Beneficiaries | 902 |
| Number Of Male Beneficiaries | 921 |
| Number Of Non Hispanic White Beneficiaries | 1432 |
| Number Of Black or African American Beneficiaries | 187 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 153 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1571 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 252 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5698 |