| National Provider Identifier [NPI]: | 1902811219 |
| Last Name Of The Provider | HASSANEIN |
| First Name Of The Provider | ASHRAF |
| 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 | 11950 COUNTY ROAD 101 |
| Street Address 2 Of The Provider | STE 203 |
| City Of The Provider | THE VILLAGES |
| Zip Code Of The Provider | 321629332 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 96 |
| Number Of Services | 37899 |
| Number Of Medicare Beneficiaries | 2906 |
| Total Submitted Charge Amount | 7196105.96 |
| Total Medicare Allowed Amount | 3194120.75 |
| Total Medicare Payment Amount | 2433212.34 |
| Total Medicare Standardized Payment Amount | 2257393.83 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 115 |
| Number Of Medicare Beneficiaries With Drug Services | 24 |
| Total Drug Submitted ChargeAmount | 411 |
| Total Drug Medicare AllowedAmount | 204.67 |
| Total Drug Medicare PaymentAmount | 156.27 |
| Total Drug Medicare Standardized Payment Amount | 156.27 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 95 |
| Number Of Medical Services | 37784 |
| Number Of Medicare Beneficiaries With Medical Services | 2906 |
| Total Medical Submitted Charge Amount | 7195694.96 |
| Total Medical Medicare Allowed Amount | 3193916.08 |
| Total Medical Medicare Payment Amount | 2433056.07 |
| Total Medical Medicare Standardized Payment Amount | 2257237.56 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 50 |
| Number Of Beneficiaries Age 65 to 74 | 1639 |
| Number Of Beneficiaries Age 75 to 84 | 1012 |
| Number Of Beneficiaries Age Greater 84 | 205 |
| Number Of Female Beneficiaries | 1439 |
| Number Of Male Beneficiaries | 1467 |
| Number Of Non Hispanic White Beneficiaries | 2804 |
| Number Of Black or African American Beneficiaries | |
| 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 | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2879 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 27 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 24 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9374 |