| National Provider Identifier [NPI]: | 1093742801 |
| Last Name Of The Provider | SHAH |
| First Name Of The Provider | HIRENKUMAR |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 65 THOMAS JOHNSON DR |
| Street Address 2 Of The Provider | SUITE C |
| City Of The Provider | FREDERICK |
| Zip Code Of The Provider | 217024371 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 114 |
| Number Of Services | 17632 |
| Number Of Medicare Beneficiaries | 1331 |
| Total Submitted Charge Amount | 1118879 |
| Total Medicare Allowed Amount | 765899.2 |
| Total Medicare Payment Amount | 595355.67 |
| Total Medicare Standardized Payment Amount | 587597.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 1275 |
| Number Of Medicare Beneficiaries With Drug Services | 329 |
| Total Drug Submitted ChargeAmount | 26342 |
| Total Drug Medicare AllowedAmount | 21191.66 |
| Total Drug Medicare PaymentAmount | 18474.82 |
| Total Drug Medicare Standardized Payment Amount | 18474.82 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 105 |
| Number Of Medical Services | 16357 |
| Number Of Medicare Beneficiaries With Medical Services | 1331 |
| Total Medical Submitted Charge Amount | 1092537 |
| Total Medical Medicare Allowed Amount | 744707.54 |
| Total Medical Medicare Payment Amount | 576880.85 |
| Total Medical Medicare Standardized Payment Amount | 569122.86 |
| Average Age Of Beneficiaries | 80 |
| Number Of Beneficiaries Age Less65 | 49 |
| Number Of Beneficiaries Age 65 to 74 | 337 |
| Number Of Beneficiaries Age 75 to 84 | 480 |
| Number Of Beneficiaries Age Greater 84 | 465 |
| Number Of Female Beneficiaries | 850 |
| Number Of Male Beneficiaries | 481 |
| Number Of Non Hispanic White Beneficiaries | 1235 |
| Number Of Black or African American Beneficiaries | 42 |
| Number Of AsianPacific Islander Beneficiaries | 23 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1221 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 110 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 31 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5801 |