| National Provider Identifier [NPI]: | 1629048814 |
| Last Name Of The Provider | SREBRO |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3443 VILLA LN |
| Street Address 2 Of The Provider | SUITE 2 |
| City Of The Provider | NAPA |
| Zip Code Of The Provider | 945586417 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 63 |
| Number Of Services | 4140 |
| Number Of Medicare Beneficiaries | 1422 |
| Total Submitted Charge Amount | 1023702.58 |
| Total Medicare Allowed Amount | 417226.9 |
| Total Medicare Payment Amount | 307787.72 |
| Total Medicare Standardized Payment Amount | 267035.93 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 197 |
| Number Of Medicare Beneficiaries With Drug Services | 37 |
| Total Drug Submitted ChargeAmount | 46933 |
| Total Drug Medicare AllowedAmount | 5918.05 |
| Total Drug Medicare PaymentAmount | 4598.09 |
| Total Drug Medicare Standardized Payment Amount | 4598.09 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 61 |
| Number Of Medical Services | 3943 |
| Number Of Medicare Beneficiaries With Medical Services | 1421 |
| Total Medical Submitted Charge Amount | 976769.58 |
| Total Medical Medicare Allowed Amount | 411308.85 |
| Total Medical Medicare Payment Amount | 303189.63 |
| Total Medical Medicare Standardized Payment Amount | 262437.84 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 67 |
| Number Of Beneficiaries Age 65 to 74 | 481 |
| Number Of Beneficiaries Age 75 to 84 | 481 |
| Number Of Beneficiaries Age Greater 84 | 393 |
| Number Of Female Beneficiaries | 686 |
| Number Of Male Beneficiaries | 736 |
| Number Of Non Hispanic White Beneficiaries | 1284 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 30 |
| Number Of Hispanic Beneficiaries | 69 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1236 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 186 |
| Percent Of With Atrial Fibrillation | 33 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6711 |