| National Provider Identifier [NPI]: | 1639113053 |
| Last Name Of The Provider | PIERANTOZZI |
| First Name Of The Provider | DONALD |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5354 REYNOLDS ST |
| Street Address 2 Of The Provider | #102 |
| City Of The Provider | SAVANNAH |
| Zip Code Of The Provider | 314056007 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 198 |
| Number Of Services | 7446 |
| Number Of Medicare Beneficiaries | 4465 |
| Total Submitted Charge Amount | 1248615 |
| Total Medicare Allowed Amount | 191226.87 |
| Total Medicare Payment Amount | 152056.73 |
| Total Medicare Standardized Payment Amount | 155643.05 |
| 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 | 198 |
| Number Of Medical Services | 7446 |
| Number Of Medicare Beneficiaries With Medical Services | 4465 |
| Total Medical Submitted Charge Amount | 1248615 |
| Total Medical Medicare Allowed Amount | 191226.87 |
| Total Medical Medicare Payment Amount | 152056.73 |
| Total Medical Medicare Standardized Payment Amount | 155643.05 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 882 |
| Number Of Beneficiaries Age 65 to 74 | 1710 |
| Number Of Beneficiaries Age 75 to 84 | 1197 |
| Number Of Beneficiaries Age Greater 84 | 676 |
| Number Of Female Beneficiaries | 2960 |
| Number Of Male Beneficiaries | 1505 |
| Number Of Non Hispanic White Beneficiaries | 3865 |
| Number Of Black or African American Beneficiaries | 384 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 130 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3375 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1090 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4985 |