| National Provider Identifier [NPI]: | 1548255409 |
| Last Name Of The Provider | SHOAF |
| First Name Of The Provider | GUY |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1201 MEDICAL PARK DRIVE |
| Street Address 2 Of The Provider | OXFORD UROLOGY ASSOCIATES, PLLC |
| City Of The Provider | OXFORD |
| Zip Code Of The Provider | 38655 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 103 |
| Number Of Services | 11461 |
| Number Of Medicare Beneficiaries | 1560 |
| Total Submitted Charge Amount | 1527494 |
| Total Medicare Allowed Amount | 552860.06 |
| Total Medicare Payment Amount | 403179.27 |
| Total Medicare Standardized Payment Amount | 448031.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 443 |
| Number Of Medicare Beneficiaries With Drug Services | 93 |
| Total Drug Submitted ChargeAmount | 267753 |
| Total Drug Medicare AllowedAmount | 51935.77 |
| Total Drug Medicare PaymentAmount | 40465.43 |
| Total Drug Medicare Standardized Payment Amount | 40465.43 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 95 |
| Number Of Medical Services | 11018 |
| Number Of Medicare Beneficiaries With Medical Services | 1560 |
| Total Medical Submitted Charge Amount | 1259741 |
| Total Medical Medicare Allowed Amount | 500924.29 |
| Total Medical Medicare Payment Amount | 362713.84 |
| Total Medical Medicare Standardized Payment Amount | 407566.32 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 291 |
| Number Of Beneficiaries Age 65 to 74 | 659 |
| Number Of Beneficiaries Age 75 to 84 | 463 |
| Number Of Beneficiaries Age Greater 84 | 147 |
| Number Of Female Beneficiaries | 587 |
| Number Of Male Beneficiaries | 973 |
| Number Of Non Hispanic White Beneficiaries | 1172 |
| Number Of Black or African American Beneficiaries | 373 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1140 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 420 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 4 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.2069 |