| National Provider Identifier [NPI]: | 1639132269 |
| Last Name Of The Provider | ACEVEDO |
| First Name Of The Provider | PATRICK |
| Middle Initial Of The Provider | V |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2231 HIGHWAY 44 W |
| Street Address 2 Of The Provider | SUITE 203 |
| City Of The Provider | INVERNESS |
| Zip Code Of The Provider | 344533879 |
| 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 | 214 |
| Number Of Services | 622397 |
| Number Of Medicare Beneficiaries | 1332 |
| Total Submitted Charge Amount | 17685484 |
| Total Medicare Allowed Amount | 6591200.43 |
| Total Medicare Payment Amount | 5193813.69 |
| Total Medicare Standardized Payment Amount | 5172069.03 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 104 |
| Number Of Drug Services | 552665 |
| Number Of Medicare Beneficiaries With Drug Services | 652 |
| Total Drug Submitted ChargeAmount | 14183599 |
| Total Drug Medicare AllowedAmount | 5285630.72 |
| Total Drug Medicare PaymentAmount | 4140596.26 |
| Total Drug Medicare Standardized Payment Amount | 4140596.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 110 |
| Number Of Medical Services | 69732 |
| Number Of Medicare Beneficiaries With Medical Services | 1332 |
| Total Medical Submitted Charge Amount | 3501885 |
| Total Medical Medicare Allowed Amount | 1305569.71 |
| Total Medical Medicare Payment Amount | 1053217.43 |
| Total Medical Medicare Standardized Payment Amount | 1031472.77 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 98 |
| Number Of Beneficiaries Age 65 to 74 | 688 |
| Number Of Beneficiaries Age 75 to 84 | 437 |
| Number Of Beneficiaries Age Greater 84 | 109 |
| Number Of Female Beneficiaries | 714 |
| Number Of Male Beneficiaries | 618 |
| Number Of Non Hispanic White Beneficiaries | 1266 |
| Number Of Black or African American Beneficiaries | 25 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 23 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1211 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 121 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 45 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.8813 |