| National Provider Identifier [NPI]: | 1376612358 |
| Last Name Of The Provider | MILLS |
| First Name Of The Provider | THERESA |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1879 NIGHTINGALE LN |
| Street Address 2 Of The Provider | SUITE C-1 |
| City Of The Provider | TAVARES |
| Zip Code Of The Provider | 327784363 |
| 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 | 84 |
| Number Of Services | 9325 |
| Number Of Medicare Beneficiaries | 2480 |
| Total Submitted Charge Amount | 1427236.75 |
| Total Medicare Allowed Amount | 992054.85 |
| Total Medicare Payment Amount | 759439.8 |
| Total Medicare Standardized Payment Amount | 769829.59 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 742 |
| Number Of Medicare Beneficiaries With Drug Services | 187 |
| Total Drug Submitted ChargeAmount | 39829.75 |
| Total Drug Medicare AllowedAmount | 39251.26 |
| Total Drug Medicare PaymentAmount | 30344.16 |
| Total Drug Medicare Standardized Payment Amount | 30344.16 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 82 |
| Number Of Medical Services | 8583 |
| Number Of Medicare Beneficiaries With Medical Services | 2480 |
| Total Medical Submitted Charge Amount | 1387407 |
| Total Medical Medicare Allowed Amount | 952803.59 |
| Total Medical Medicare Payment Amount | 729095.64 |
| Total Medical Medicare Standardized Payment Amount | 739485.43 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 114 |
| Number Of Beneficiaries Age 65 to 74 | 841 |
| Number Of Beneficiaries Age 75 to 84 | 1028 |
| Number Of Beneficiaries Age Greater 84 | 497 |
| Number Of Female Beneficiaries | 1207 |
| Number Of Male Beneficiaries | 1273 |
| Number Of Non Hispanic White Beneficiaries | 2350 |
| Number Of Black or African American Beneficiaries | 62 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 42 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2252 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 228 |
| Percent Of With Atrial Fibrillation | 46 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.5845 |