| National Provider Identifier [NPI]: | 1669434163 |
| Last Name Of The Provider | BETZU |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 635 EICHENFELD DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | BRANDON |
| Zip Code Of The Provider | 335115908 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 79 |
| Number Of Services | 6948 |
| Number Of Medicare Beneficiaries | 2451 |
| Total Submitted Charge Amount | 1287471 |
| Total Medicare Allowed Amount | 581666.26 |
| Total Medicare Payment Amount | 439722.82 |
| Total Medicare Standardized Payment Amount | 445112.8 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 392 |
| Number Of Medicare Beneficiaries With Drug Services | 98 |
| Total Drug Submitted ChargeAmount | 33880 |
| Total Drug Medicare AllowedAmount | 20761.62 |
| Total Drug Medicare PaymentAmount | 16131.3 |
| Total Drug Medicare Standardized Payment Amount | 16131.3 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 78 |
| Number Of Medical Services | 6556 |
| Number Of Medicare Beneficiaries With Medical Services | 2451 |
| Total Medical Submitted Charge Amount | 1253591 |
| Total Medical Medicare Allowed Amount | 560904.64 |
| Total Medical Medicare Payment Amount | 423591.52 |
| Total Medical Medicare Standardized Payment Amount | 428981.5 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 176 |
| Number Of Beneficiaries Age 65 to 74 | 657 |
| Number Of Beneficiaries Age 75 to 84 | 899 |
| Number Of Beneficiaries Age Greater 84 | 719 |
| Number Of Female Beneficiaries | 1268 |
| Number Of Male Beneficiaries | 1183 |
| Number Of Non Hispanic White Beneficiaries | 2163 |
| Number Of Black or African American Beneficiaries | 91 |
| Number Of AsianPacific Islander Beneficiaries | 28 |
| Number Of Hispanic Beneficiaries | 148 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2122 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 329 |
| Percent Of With Atrial Fibrillation | 40 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.8196 |