| National Provider Identifier [NPI]: | 1689653164 |
| Last Name Of The Provider | GOTTLIEB |
| First Name Of The Provider | GEOFFREY |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 145 E 32ND ST |
| Street Address 2 Of The Provider | 10TH FLOOR |
| City Of The Provider | NEW YORK |
| Zip Code Of The Provider | 100166055 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 31 |
| Number Of Services | 16356 |
| Number Of Medicare Beneficiaries | 8297 |
| Total Submitted Charge Amount | 3358278.24 |
| Total Medicare Allowed Amount | 1235365.28 |
| Total Medicare Payment Amount | 956123.11 |
| Total Medicare Standardized Payment Amount | 713324.26 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 31 |
| Number Of Medical Services | 16356 |
| Number Of Medicare Beneficiaries With Medical Services | 8297 |
| Total Medical Submitted Charge Amount | 3358278.24 |
| Total Medical Medicare Allowed Amount | 1235365.28 |
| Total Medical Medicare Payment Amount | 956123.11 |
| Total Medical Medicare Standardized Payment Amount | 713324.26 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 867 |
| Number Of Beneficiaries Age 65 to 74 | 3538 |
| Number Of Beneficiaries Age 75 to 84 | 2609 |
| Number Of Beneficiaries Age Greater 84 | 1283 |
| Number Of Female Beneficiaries | 4544 |
| Number Of Male Beneficiaries | 3753 |
| Number Of Non Hispanic White Beneficiaries | 7682 |
| Number Of Black or African American Beneficiaries | 100 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 283 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 160 |
| Number Of Beneficiaries With Medicare Only Entitlement | 7009 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1288 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 17 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 62 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0707 |