| National Provider Identifier [NPI]: | 1174539134 |
| Last Name Of The Provider | RIVERA |
| First Name Of The Provider | EDWIN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1000 W MORENO ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | PENSACOLA |
| Zip Code Of The Provider | 325012316 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 317 |
| Number Of Services | 7857 |
| Number Of Medicare Beneficiaries | 4788 |
| Total Submitted Charge Amount | 1001964.46 |
| Total Medicare Allowed Amount | 318049.23 |
| Total Medicare Payment Amount | 246004.77 |
| Total Medicare Standardized Payment Amount | 244202.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 317 |
| Number Of Medical Services | 7857 |
| Number Of Medicare Beneficiaries With Medical Services | 4788 |
| Total Medical Submitted Charge Amount | 1001964.46 |
| Total Medical Medicare Allowed Amount | 318049.23 |
| Total Medical Medicare Payment Amount | 246004.77 |
| Total Medical Medicare Standardized Payment Amount | 244202.64 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 935 |
| Number Of Beneficiaries Age 65 to 74 | 1652 |
| Number Of Beneficiaries Age 75 to 84 | 1522 |
| Number Of Beneficiaries Age Greater 84 | 679 |
| Number Of Female Beneficiaries | 2788 |
| Number Of Male Beneficiaries | 2000 |
| Number Of Non Hispanic White Beneficiaries | 3886 |
| Number Of Black or African American Beneficiaries | 738 |
| Number Of AsianPacific Islander Beneficiaries | 40 |
| Number Of Hispanic Beneficiaries | 57 |
| Number Of American Indian Alaska Native Beneficiaries | 30 |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3517 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1271 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.8179 |