| National Provider Identifier [NPI]: | 1548295637 |
| Last Name Of The Provider | SHAH |
| First Name Of The Provider | ASMITA |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 827 OLEY VALLEY RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | WHITE HAVEN |
| Zip Code Of The Provider | 186613043 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 8 |
| Number Of Services | 281 |
| Number Of Medicare Beneficiaries | 49 |
| Total Submitted Charge Amount | 12561.48 |
| Total Medicare Allowed Amount | 12327.1 |
| Total Medicare Payment Amount | 8630.93 |
| Total Medicare Standardized Payment Amount | 9177.89 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 25 |
| Number Of Medicare Beneficiaries With Drug Services | 25 |
| Total Drug Submitted ChargeAmount | 214.5 |
| Total Drug Medicare AllowedAmount | 214.5 |
| Total Drug Medicare PaymentAmount | 210.25 |
| Total Drug Medicare Standardized Payment Amount | 210.25 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 7 |
| Number Of Medical Services | 256 |
| Number Of Medicare Beneficiaries With Medical Services | 49 |
| Total Medical Submitted Charge Amount | 12346.98 |
| Total Medical Medicare Allowed Amount | 12112.6 |
| Total Medical Medicare Payment Amount | 8420.68 |
| Total Medical Medicare Standardized Payment Amount | 8967.64 |
| Average Age Of Beneficiaries | 60 |
| Number Of Beneficiaries Age Less65 | 37 |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 13 |
| Number Of Male Beneficiaries | 36 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 0 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 49 |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | |
| Percent Of With Asthma | |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | |
| Percent Of With Diabetes | |
| Percent Of With Hyperlipidemia | 39 |
| Percent Of With Hypertension | 31 |
| Percent Of With Ischemic Heart Disease | |
| Percent Of With Osteoporosis | 49 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | |
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 1.8251 |