| National Provider Identifier [NPI]: | 1477582518 |
| Last Name Of The Provider | MICKLIN |
| First Name Of The Provider | ALAN |
| 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 | 1 CENTURIAN DR |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | NEWARK |
| Zip Code Of The Provider | 197132137 |
| State Code Of The Provider | DE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 90 |
| Number Of Services | 11101 |
| Number Of Medicare Beneficiaries | 4256 |
| Total Submitted Charge Amount | 4615706.38 |
| Total Medicare Allowed Amount | 1471906.37 |
| Total Medicare Payment Amount | 1104010.44 |
| Total Medicare Standardized Payment Amount | 1086976.59 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1242 |
| Number Of Medicare Beneficiaries With Drug Services | 311 |
| Total Drug Submitted ChargeAmount | 154839.8 |
| Total Drug Medicare AllowedAmount | 61289.88 |
| Total Drug Medicare PaymentAmount | 47523.96 |
| Total Drug Medicare Standardized Payment Amount | 47523.96 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 87 |
| Number Of Medical Services | 9859 |
| Number Of Medicare Beneficiaries With Medical Services | 4256 |
| Total Medical Submitted Charge Amount | 4460866.58 |
| Total Medical Medicare Allowed Amount | 1410616.49 |
| Total Medical Medicare Payment Amount | 1056486.48 |
| Total Medical Medicare Standardized Payment Amount | 1039452.63 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 307 |
| Number Of Beneficiaries Age 65 to 74 | 1762 |
| Number Of Beneficiaries Age 75 to 84 | 1485 |
| Number Of Beneficiaries Age Greater 84 | 702 |
| Number Of Female Beneficiaries | 2126 |
| Number Of Male Beneficiaries | 2130 |
| Number Of Non Hispanic White Beneficiaries | 3554 |
| Number Of Black or African American Beneficiaries | 516 |
| Number Of AsianPacific Islander Beneficiaries | 52 |
| Number Of Hispanic Beneficiaries | 81 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3847 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 409 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.438 |