| National Provider Identifier [NPI]: | 1225299712 |
| Last Name Of The Provider | GIDSEG |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 525 E 68TH ST |
| Street Address 2 Of The Provider | STARR 4 |
| City Of The Provider | NEW YORK |
| Zip Code Of The Provider | 100654870 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 54 |
| Number Of Services | 11358 |
| Number Of Medicare Beneficiaries | 2949 |
| Total Submitted Charge Amount | 1825099 |
| Total Medicare Allowed Amount | 1145988.83 |
| Total Medicare Payment Amount | 869950.54 |
| Total Medicare Standardized Payment Amount | 804035.4 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 2353 |
| Number Of Medicare Beneficiaries With Drug Services | 345 |
| Total Drug Submitted ChargeAmount | 66095 |
| Total Drug Medicare AllowedAmount | 3522.47 |
| Total Drug Medicare PaymentAmount | 2693.67 |
| Total Drug Medicare Standardized Payment Amount | 2693.67 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 51 |
| Number Of Medical Services | 9005 |
| Number Of Medicare Beneficiaries With Medical Services | 2949 |
| Total Medical Submitted Charge Amount | 1759004 |
| Total Medical Medicare Allowed Amount | 1142466.36 |
| Total Medical Medicare Payment Amount | 867256.87 |
| Total Medical Medicare Standardized Payment Amount | 801341.73 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 352 |
| Number Of Beneficiaries Age 65 to 74 | 999 |
| Number Of Beneficiaries Age 75 to 84 | 980 |
| Number Of Beneficiaries Age Greater 84 | 618 |
| Number Of Female Beneficiaries | 1499 |
| Number Of Male Beneficiaries | 1450 |
| Number Of Non Hispanic White Beneficiaries | 2493 |
| Number Of Black or African American Beneficiaries | 147 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 222 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2285 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 664 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 71 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.8008 |