| National Provider Identifier [NPI]: | 1497790620 |
| Last Name Of The Provider | ALSHEIK |
| First Name Of The Provider | HASSAN |
| Middle Initial Of The Provider | I |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 929 RIDGE RD |
| Street Address 2 Of The Provider | STE 1 |
| City Of The Provider | MUNSTER |
| Zip Code Of The Provider | 463211751 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 85 |
| Number Of Services | 7341 |
| Number Of Medicare Beneficiaries | 1613 |
| Total Submitted Charge Amount | 3059884 |
| Total Medicare Allowed Amount | 792389.08 |
| Total Medicare Payment Amount | 581961.38 |
| Total Medicare Standardized Payment Amount | 618415.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 753 |
| Number Of Medicare Beneficiaries With Drug Services | 74 |
| Total Drug Submitted ChargeAmount | 596376 |
| Total Drug Medicare AllowedAmount | 166117.56 |
| Total Drug Medicare PaymentAmount | 129137.3 |
| Total Drug Medicare Standardized Payment Amount | 129137.3 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 84 |
| Number Of Medical Services | 6588 |
| Number Of Medicare Beneficiaries With Medical Services | 1613 |
| Total Medical Submitted Charge Amount | 2463508 |
| Total Medical Medicare Allowed Amount | 626271.52 |
| Total Medical Medicare Payment Amount | 452824.08 |
| Total Medical Medicare Standardized Payment Amount | 489277.95 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 132 |
| Number Of Beneficiaries Age 65 to 74 | 621 |
| Number Of Beneficiaries Age 75 to 84 | 598 |
| Number Of Beneficiaries Age Greater 84 | 262 |
| Number Of Female Beneficiaries | 359 |
| Number Of Male Beneficiaries | 1254 |
| Number Of Non Hispanic White Beneficiaries | 1173 |
| Number Of Black or African American Beneficiaries | 205 |
| Number Of AsianPacific Islander Beneficiaries | 11 |
| Number Of Hispanic Beneficiaries | 208 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 16 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1443 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 170 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 28 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.527 |