| National Provider Identifier [NPI]: | 1801969985 |
| Last Name Of The Provider | SHAHEEN |
| First Name Of The Provider | ADEL |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 770 W HIGH ST |
| Street Address 2 Of The Provider | SUITE 370 |
| City Of The Provider | LIMA |
| Zip Code Of The Provider | 45801 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 90 |
| Number Of Services | 29390 |
| Number Of Medicare Beneficiaries | 2471 |
| Total Submitted Charge Amount | 5096745.33 |
| Total Medicare Allowed Amount | 1161461.95 |
| Total Medicare Payment Amount | 881100.74 |
| Total Medicare Standardized Payment Amount | 920178.24 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 16360 |
| Number Of Medicare Beneficiaries With Drug Services | 497 |
| Total Drug Submitted ChargeAmount | 172391.29 |
| Total Drug Medicare AllowedAmount | 43574.49 |
| Total Drug Medicare PaymentAmount | 34159.96 |
| Total Drug Medicare Standardized Payment Amount | 34159.96 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 88 |
| Number Of Medical Services | 13030 |
| Number Of Medicare Beneficiaries With Medical Services | 2471 |
| Total Medical Submitted Charge Amount | 4924354.04 |
| Total Medical Medicare Allowed Amount | 1117887.46 |
| Total Medical Medicare Payment Amount | 846940.78 |
| Total Medical Medicare Standardized Payment Amount | 886018.28 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 320 |
| Number Of Beneficiaries Age 65 to 74 | 917 |
| Number Of Beneficiaries Age 75 to 84 | 820 |
| Number Of Beneficiaries Age Greater 84 | 414 |
| Number Of Female Beneficiaries | 1273 |
| Number Of Male Beneficiaries | 1198 |
| Number Of Non Hispanic White Beneficiaries | 2278 |
| Number Of Black or African American Beneficiaries | 119 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 37 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2027 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 444 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4764 |