| National Provider Identifier [NPI]: | 1962405852 |
| Last Name Of The Provider | ACOSTA |
| First Name Of The Provider | ANDRES |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4960 W NEWBERRY RD |
| Street Address 2 Of The Provider | STE 280 |
| City Of The Provider | GAINESVILLE |
| Zip Code Of The Provider | 326072201 |
| 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 | 172 |
| Number Of Services | 11199 |
| Number Of Medicare Beneficiaries | 4444 |
| Total Submitted Charge Amount | 1023959 |
| Total Medicare Allowed Amount | 346823.35 |
| Total Medicare Payment Amount | 268542.52 |
| Total Medicare Standardized Payment Amount | 275002.97 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 4390 |
| Number Of Medicare Beneficiaries With Drug Services | 62 |
| Total Drug Submitted ChargeAmount | 18444 |
| Total Drug Medicare AllowedAmount | 1341.1 |
| Total Drug Medicare PaymentAmount | 1025.9 |
| Total Drug Medicare Standardized Payment Amount | 1025.9 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 169 |
| Number Of Medical Services | 6809 |
| Number Of Medicare Beneficiaries With Medical Services | 4442 |
| Total Medical Submitted Charge Amount | 1005515 |
| Total Medical Medicare Allowed Amount | 345482.25 |
| Total Medical Medicare Payment Amount | 267516.62 |
| Total Medical Medicare Standardized Payment Amount | 273977.07 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 770 |
| Number Of Beneficiaries Age 65 to 74 | 1528 |
| Number Of Beneficiaries Age 75 to 84 | 1376 |
| Number Of Beneficiaries Age Greater 84 | 770 |
| Number Of Female Beneficiaries | 2800 |
| Number Of Male Beneficiaries | 1644 |
| Number Of Non Hispanic White Beneficiaries | 3726 |
| Number Of Black or African American Beneficiaries | 563 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 101 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3127 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1317 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7441 |