| National Provider Identifier [NPI]: | 1558355255 |
| Last Name Of The Provider | JAJEH |
| First Name Of The Provider | FAHD |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 35 TOWER CT |
| Street Address 2 Of The Provider | STE F |
| City Of The Provider | GURNEE |
| Zip Code Of The Provider | 600315712 |
| 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 | 101 |
| Number Of Services | 8028 |
| Number Of Medicare Beneficiaries | 2555 |
| Total Submitted Charge Amount | 1515130 |
| Total Medicare Allowed Amount | 788500.92 |
| Total Medicare Payment Amount | 599077.12 |
| Total Medicare Standardized Payment Amount | 570826.56 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 543 |
| Number Of Medicare Beneficiaries With Drug Services | 131 |
| Total Drug Submitted ChargeAmount | 54300 |
| Total Drug Medicare AllowedAmount | 27694.3 |
| Total Drug Medicare PaymentAmount | 21353.55 |
| Total Drug Medicare Standardized Payment Amount | 21353.55 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 98 |
| Number Of Medical Services | 7485 |
| Number Of Medicare Beneficiaries With Medical Services | 2555 |
| Total Medical Submitted Charge Amount | 1460830 |
| Total Medical Medicare Allowed Amount | 760806.62 |
| Total Medical Medicare Payment Amount | 577723.57 |
| Total Medical Medicare Standardized Payment Amount | 549473.01 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 309 |
| Number Of Beneficiaries Age 65 to 74 | 860 |
| Number Of Beneficiaries Age 75 to 84 | 845 |
| Number Of Beneficiaries Age Greater 84 | 541 |
| Number Of Female Beneficiaries | 1350 |
| Number Of Male Beneficiaries | 1205 |
| Number Of Non Hispanic White Beneficiaries | 2078 |
| Number Of Black or African American Beneficiaries | 215 |
| Number Of AsianPacific Islander Beneficiaries | 58 |
| Number Of Hispanic Beneficiaries | 178 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1984 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 571 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 74 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.8628 |