| National Provider Identifier [NPI]: | 1043248297 |
| Last Name Of The Provider | GOLDBERG |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 15225 SHADY GROVE RD |
| Street Address 2 Of The Provider | SUITE 201 |
| City Of The Provider | ROCKVILLE |
| Zip Code Of The Provider | 208503254 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 35 |
| Number Of Services | 6758 |
| Number Of Medicare Beneficiaries | 2759 |
| Total Submitted Charge Amount | 961703.88 |
| Total Medicare Allowed Amount | 482319.36 |
| Total Medicare Payment Amount | 364347.72 |
| Total Medicare Standardized Payment Amount | 323009.59 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 364 |
| Number Of Medicare Beneficiaries With Drug Services | 90 |
| Total Drug Submitted ChargeAmount | 23660 |
| Total Drug Medicare AllowedAmount | 19275.85 |
| Total Drug Medicare PaymentAmount | 15112.2 |
| Total Drug Medicare Standardized Payment Amount | 15112.2 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 34 |
| Number Of Medical Services | 6394 |
| Number Of Medicare Beneficiaries With Medical Services | 2759 |
| Total Medical Submitted Charge Amount | 938043.88 |
| Total Medical Medicare Allowed Amount | 463043.51 |
| Total Medical Medicare Payment Amount | 349235.52 |
| Total Medical Medicare Standardized Payment Amount | 307897.39 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 307 |
| Number Of Beneficiaries Age 65 to 74 | 928 |
| Number Of Beneficiaries Age 75 to 84 | 877 |
| Number Of Beneficiaries Age Greater 84 | 647 |
| Number Of Female Beneficiaries | 1554 |
| Number Of Male Beneficiaries | 1205 |
| Number Of Non Hispanic White Beneficiaries | 1779 |
| Number Of Black or African American Beneficiaries | 477 |
| Number Of AsianPacific Islander Beneficiaries | 264 |
| Number Of Hispanic Beneficiaries | 186 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2032 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 727 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.7282 |