| National Provider Identifier [NPI]: | 1477612877 |
| Last Name Of The Provider | ANSARI |
| First Name Of The Provider | ATHAR |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 790 W ORANGE AVE |
| Street Address 2 Of The Provider | STE. B |
| City Of The Provider | EL CENTRO |
| Zip Code Of The Provider | 922433274 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 118 |
| Number Of Services | 60828 |
| Number Of Medicare Beneficiaries | 2017 |
| Total Submitted Charge Amount | 9710277.7 |
| Total Medicare Allowed Amount | 4981111.49 |
| Total Medicare Payment Amount | 3872371.17 |
| Total Medicare Standardized Payment Amount | 3639568.66 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 15 |
| Number Of Drug Services | 43301 |
| Number Of Medicare Beneficiaries With Drug Services | 750 |
| Total Drug Submitted ChargeAmount | 693281.44 |
| Total Drug Medicare AllowedAmount | 144991.84 |
| Total Drug Medicare PaymentAmount | 112604.02 |
| Total Drug Medicare Standardized Payment Amount | 112604.02 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 103 |
| Number Of Medical Services | 17527 |
| Number Of Medicare Beneficiaries With Medical Services | 2017 |
| Total Medical Submitted Charge Amount | 9016996.26 |
| Total Medical Medicare Allowed Amount | 4836119.65 |
| Total Medical Medicare Payment Amount | 3759767.15 |
| Total Medical Medicare Standardized Payment Amount | 3526964.64 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 253 |
| Number Of Beneficiaries Age 65 to 74 | 736 |
| Number Of Beneficiaries Age 75 to 84 | 705 |
| Number Of Beneficiaries Age Greater 84 | 323 |
| Number Of Female Beneficiaries | 1063 |
| Number Of Male Beneficiaries | 954 |
| Number Of Non Hispanic White Beneficiaries | 317 |
| Number Of Black or African American Beneficiaries | 27 |
| Number Of AsianPacific Islander Beneficiaries | 23 |
| Number Of Hispanic Beneficiaries | 1636 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 505 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1512 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 62 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 2.3007 |