| National Provider Identifier [NPI]: | 1528005048 |
| Last Name Of The Provider | ERQUIAGA |
| First Name Of The Provider | EUGENIO |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 512 NOKOMIS AVE S |
| Street Address 2 Of The Provider | |
| City Of The Provider | VENICE |
| Zip Code Of The Provider | 342852817 |
| 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 | 256 |
| Number Of Services | 96139.5 |
| Number Of Medicare Beneficiaries | 7070 |
| Total Submitted Charge Amount | 1563767.55 |
| Total Medicare Allowed Amount | 1318820 |
| Total Medicare Payment Amount | 1048386.81 |
| Total Medicare Standardized Payment Amount | 1078126.22 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 12 |
| Number Of Drug Services | 82580.5 |
| Number Of Medicare Beneficiaries With Drug Services | 935 |
| Total Drug Submitted ChargeAmount | 54961.6 |
| Total Drug Medicare AllowedAmount | 21192.04 |
| Total Drug Medicare PaymentAmount | 16503.76 |
| Total Drug Medicare Standardized Payment Amount | 16503.76 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 244 |
| Number Of Medical Services | 13559 |
| Number Of Medicare Beneficiaries With Medical Services | 7069 |
| Total Medical Submitted Charge Amount | 1508805.95 |
| Total Medical Medicare Allowed Amount | 1297627.96 |
| Total Medical Medicare Payment Amount | 1031883.05 |
| Total Medical Medicare Standardized Payment Amount | 1061622.46 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 323 |
| Number Of Beneficiaries Age 65 to 74 | 2870 |
| Number Of Beneficiaries Age 75 to 84 | 2550 |
| Number Of Beneficiaries Age Greater 84 | 1327 |
| Number Of Female Beneficiaries | 4415 |
| Number Of Male Beneficiaries | 2655 |
| Number Of Non Hispanic White Beneficiaries | 6866 |
| Number Of Black or African American Beneficiaries | 35 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 63 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 77 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6651 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 419 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.2994 |