| National Provider Identifier [NPI]: | 1437155363 |
| Last Name Of The Provider | AMBROSE |
| First Name Of The Provider | JAYASEELAN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 145 HOSPITAL AVE |
| Street Address 2 Of The Provider | STE 113 |
| City Of The Provider | DU BOIS |
| Zip Code Of The Provider | 158011463 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 88 |
| Number Of Services | 8232 |
| Number Of Medicare Beneficiaries | 3398 |
| Total Submitted Charge Amount | 1748472.5 |
| Total Medicare Allowed Amount | 511236.57 |
| Total Medicare Payment Amount | 382530.4 |
| Total Medicare Standardized Payment Amount | 396828.27 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 88 |
| Number Of Medical Services | 8232 |
| Number Of Medicare Beneficiaries With Medical Services | 3398 |
| Total Medical Submitted Charge Amount | 1748472.5 |
| Total Medical Medicare Allowed Amount | 511236.57 |
| Total Medical Medicare Payment Amount | 382530.4 |
| Total Medical Medicare Standardized Payment Amount | 396828.27 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 447 |
| Number Of Beneficiaries Age 65 to 74 | 1062 |
| Number Of Beneficiaries Age 75 to 84 | 1205 |
| Number Of Beneficiaries Age Greater 84 | 684 |
| Number Of Female Beneficiaries | 1727 |
| Number Of Male Beneficiaries | 1671 |
| Number Of Non Hispanic White Beneficiaries | 3343 |
| Number Of Black or African American Beneficiaries | 13 |
| Number Of AsianPacific Islander Beneficiaries | |
| 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 | 2644 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 754 |
| Percent Of With Atrial Fibrillation | 28 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 68 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6401 |