| National Provider Identifier [NPI]: | 1093779647 |
| Last Name Of The Provider | CUSICK |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3231 EUCLID AVE |
| Street Address 2 Of The Provider | SUITE 201 |
| City Of The Provider | BERWYN |
| Zip Code Of The Provider | 604023471 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 59 |
| Number Of Services | 12811 |
| Number Of Medicare Beneficiaries | 4605 |
| Total Submitted Charge Amount | 3917221 |
| Total Medicare Allowed Amount | 1230048.97 |
| Total Medicare Payment Amount | 941847.24 |
| Total Medicare Standardized Payment Amount | 906204.93 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1533 |
| Number Of Medicare Beneficiaries With Drug Services | 385 |
| Total Drug Submitted ChargeAmount | 153032 |
| Total Drug Medicare AllowedAmount | 81130.58 |
| Total Drug Medicare PaymentAmount | 63605.72 |
| Total Drug Medicare Standardized Payment Amount | 63605.72 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 56 |
| Number Of Medical Services | 11278 |
| Number Of Medicare Beneficiaries With Medical Services | 4605 |
| Total Medical Submitted Charge Amount | 3764189 |
| Total Medical Medicare Allowed Amount | 1148918.39 |
| Total Medical Medicare Payment Amount | 878241.52 |
| Total Medical Medicare Standardized Payment Amount | 842599.21 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 533 |
| Number Of Beneficiaries Age 65 to 74 | 1564 |
| Number Of Beneficiaries Age 75 to 84 | 1532 |
| Number Of Beneficiaries Age Greater 84 | 976 |
| Number Of Female Beneficiaries | 2451 |
| Number Of Male Beneficiaries | 2154 |
| Number Of Non Hispanic White Beneficiaries | 3474 |
| Number Of Black or African American Beneficiaries | 355 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 691 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3493 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1112 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7723 |