| National Provider Identifier [NPI]: | 1205885613 |
| Last Name Of The Provider | SOFI |
| First Name Of The Provider | ABDUL |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 315 E ASH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | PERRY |
| Zip Code Of The Provider | 323472029 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 279 |
| Number Of Services | 38559 |
| Number Of Medicare Beneficiaries | 1151 |
| Total Submitted Charge Amount | 1719223.76 |
| Total Medicare Allowed Amount | 898406.43 |
| Total Medicare Payment Amount | 668601.18 |
| Total Medicare Standardized Payment Amount | 677374.09 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 26 |
| Number Of Drug Services | 19626 |
| Number Of Medicare Beneficiaries With Drug Services | 591 |
| Total Drug Submitted ChargeAmount | 151383.76 |
| Total Drug Medicare AllowedAmount | 17779.54 |
| Total Drug Medicare PaymentAmount | 14395.67 |
| Total Drug Medicare Standardized Payment Amount | 14395.67 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 253 |
| Number Of Medical Services | 18933 |
| Number Of Medicare Beneficiaries With Medical Services | 1151 |
| Total Medical Submitted Charge Amount | 1567840 |
| Total Medical Medicare Allowed Amount | 880626.89 |
| Total Medical Medicare Payment Amount | 654205.51 |
| Total Medical Medicare Standardized Payment Amount | 662978.42 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 233 |
| Number Of Beneficiaries Age 65 to 74 | 433 |
| Number Of Beneficiaries Age 75 to 84 | 329 |
| Number Of Beneficiaries Age Greater 84 | 156 |
| Number Of Female Beneficiaries | 629 |
| Number Of Male Beneficiaries | 522 |
| Number Of Non Hispanic White Beneficiaries | 970 |
| Number Of Black or African American Beneficiaries | 162 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 785 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 366 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 33 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.2421 |