| National Provider Identifier [NPI]: | 1619900388 |
| Last Name Of The Provider | GOLOMB |
| First Name Of The Provider | CYNTHIA |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 110 N FEDERAL HWY |
| Street Address 2 Of The Provider | SUITE 302 |
| City Of The Provider | HALLANDALE BEACH |
| Zip Code Of The Provider | 330094300 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 97 |
| Number Of Services | 21208 |
| Number Of Medicare Beneficiaries | 3177 |
| Total Submitted Charge Amount | 1530673.8 |
| Total Medicare Allowed Amount | 1395782.59 |
| Total Medicare Payment Amount | 1045133.73 |
| Total Medicare Standardized Payment Amount | 818887.48 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 587 |
| Number Of Medicare Beneficiaries With Drug Services | 226 |
| Total Drug Submitted ChargeAmount | 13550.75 |
| Total Drug Medicare AllowedAmount | 13340.52 |
| Total Drug Medicare PaymentAmount | 10161.54 |
| Total Drug Medicare Standardized Payment Amount | 10161.54 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 93 |
| Number Of Medical Services | 20621 |
| Number Of Medicare Beneficiaries With Medical Services | 3177 |
| Total Medical Submitted Charge Amount | 1517123.05 |
| Total Medical Medicare Allowed Amount | 1382442.07 |
| Total Medical Medicare Payment Amount | 1034972.19 |
| Total Medical Medicare Standardized Payment Amount | 808725.94 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 137 |
| Number Of Beneficiaries Age 65 to 74 | 1190 |
| Number Of Beneficiaries Age 75 to 84 | 1262 |
| Number Of Beneficiaries Age Greater 84 | 588 |
| Number Of Female Beneficiaries | 1579 |
| Number Of Male Beneficiaries | 1598 |
| Number Of Non Hispanic White Beneficiaries | 3005 |
| Number Of Black or African American Beneficiaries | 44 |
| Number Of AsianPacific Islander Beneficiaries | 14 |
| Number Of Hispanic Beneficiaries | 80 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3008 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 169 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 17 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.148 |