| National Provider Identifier [NPI]: | 1043228059 |
| Last Name Of The Provider | COSTLOW |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3824 NORTHERN PIKE |
| Street Address 2 Of The Provider | STE 200 |
| City Of The Provider | MONROEVILLE |
| Zip Code Of The Provider | 151462141 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 97 |
| Number Of Services | 22920 |
| Number Of Medicare Beneficiaries | 2651 |
| Total Submitted Charge Amount | 553161 |
| Total Medicare Allowed Amount | 307563.07 |
| Total Medicare Payment Amount | 281298.34 |
| Total Medicare Standardized Payment Amount | 285437.61 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 133 |
| Number Of Medicare Beneficiaries With Drug Services | 106 |
| Total Drug Submitted ChargeAmount | 8127 |
| Total Drug Medicare AllowedAmount | 5752 |
| Total Drug Medicare PaymentAmount | 5495.87 |
| Total Drug Medicare Standardized Payment Amount | 5495.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 87 |
| Number Of Medical Services | 22787 |
| Number Of Medicare Beneficiaries With Medical Services | 2651 |
| Total Medical Submitted Charge Amount | 545034 |
| Total Medical Medicare Allowed Amount | 301811.07 |
| Total Medical Medicare Payment Amount | 275802.47 |
| Total Medical Medicare Standardized Payment Amount | 279941.74 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 350 |
| Number Of Beneficiaries Age 65 to 74 | 1036 |
| Number Of Beneficiaries Age 75 to 84 | 672 |
| Number Of Beneficiaries Age Greater 84 | 593 |
| Number Of Female Beneficiaries | 1575 |
| Number Of Male Beneficiaries | 1076 |
| Number Of Non Hispanic White Beneficiaries | 2398 |
| Number Of Black or African American Beneficiaries | 197 |
| Number Of AsianPacific Islander Beneficiaries | 20 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2387 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 264 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.0668 |