| National Provider Identifier [NPI]: | 1568438984 |
| Last Name Of The Provider | FASTABEND |
| First Name Of The Provider | CARL |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 501 DR MICHAEL DEBAKEY DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAKE CHARLES |
| Zip Code Of The Provider | 706015724 |
| State Code Of The Provider | LA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 138 |
| Number Of Services | 6448 |
| Number Of Medicare Beneficiaries | 1921 |
| Total Submitted Charge Amount | 3481107.15 |
| Total Medicare Allowed Amount | 965063.51 |
| Total Medicare Payment Amount | 743081.45 |
| Total Medicare Standardized Payment Amount | 785399.43 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 498 |
| Number Of Medicare Beneficiaries With Drug Services | 117 |
| Total Drug Submitted ChargeAmount | 71912 |
| Total Drug Medicare AllowedAmount | 22289.22 |
| Total Drug Medicare PaymentAmount | 17052.78 |
| Total Drug Medicare Standardized Payment Amount | 17052.78 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 130 |
| Number Of Medical Services | 5950 |
| Number Of Medicare Beneficiaries With Medical Services | 1921 |
| Total Medical Submitted Charge Amount | 3409195.15 |
| Total Medical Medicare Allowed Amount | 942774.29 |
| Total Medical Medicare Payment Amount | 726028.67 |
| Total Medical Medicare Standardized Payment Amount | 768346.65 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 300 |
| Number Of Beneficiaries Age 65 to 74 | 712 |
| Number Of Beneficiaries Age 75 to 84 | 670 |
| Number Of Beneficiaries Age Greater 84 | 239 |
| Number Of Female Beneficiaries | 1011 |
| Number Of Male Beneficiaries | 910 |
| Number Of Non Hispanic White Beneficiaries | 1508 |
| Number Of Black or African American Beneficiaries | 371 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 20 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1476 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 445 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.7727 |