| National Provider Identifier [NPI]: | 1043213051 |
| Last Name Of The Provider | GOROVOY |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12381 S CLEVELAND AVE |
| Street Address 2 Of The Provider | STE 300 |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339073852 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 105 |
| Number Of Services | 11909 |
| Number Of Medicare Beneficiaries | 3378 |
| Total Submitted Charge Amount | 6375260.5 |
| Total Medicare Allowed Amount | 2191968.12 |
| Total Medicare Payment Amount | 1623134.09 |
| Total Medicare Standardized Payment Amount | 1549006.93 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 563 |
| Number Of Medicare Beneficiaries With Drug Services | 31 |
| Total Drug Submitted ChargeAmount | 286997.5 |
| Total Drug Medicare AllowedAmount | 188442.91 |
| Total Drug Medicare PaymentAmount | 147738.88 |
| Total Drug Medicare Standardized Payment Amount | 147738.88 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 102 |
| Number Of Medical Services | 11346 |
| Number Of Medicare Beneficiaries With Medical Services | 3378 |
| Total Medical Submitted Charge Amount | 6088263 |
| Total Medical Medicare Allowed Amount | 2003525.21 |
| Total Medical Medicare Payment Amount | 1475395.21 |
| Total Medical Medicare Standardized Payment Amount | 1401268.05 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 100 |
| Number Of Beneficiaries Age 65 to 74 | 1321 |
| Number Of Beneficiaries Age 75 to 84 | 1333 |
| Number Of Beneficiaries Age Greater 84 | 624 |
| Number Of Female Beneficiaries | 1920 |
| Number Of Male Beneficiaries | 1458 |
| Number Of Non Hispanic White Beneficiaries | 3164 |
| Number Of Black or African American Beneficiaries | 60 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 84 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3243 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 135 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 12 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 63 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0528 |