| National Provider Identifier [NPI]: | 1144323023 |
| Last Name Of The Provider | FORSTOT |
| First Name Of The Provider | JOSEPH |
| Middle Initial Of The Provider | Z |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1050 NW 15TH ST |
| Street Address 2 Of The Provider | SUITE 212A |
| City Of The Provider | BOCA RATON |
| Zip Code Of The Provider | 334861375 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Rheumatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 107 |
| Number Of Services | 58501 |
| Number Of Medicare Beneficiaries | 887 |
| Total Submitted Charge Amount | 1631654.06 |
| Total Medicare Allowed Amount | 1573073.82 |
| Total Medicare Payment Amount | 1228617.61 |
| Total Medicare Standardized Payment Amount | 1209314.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 22 |
| Number Of Drug Services | 46242 |
| Number Of Medicare Beneficiaries With Drug Services | 543 |
| Total Drug Submitted ChargeAmount | 1078633.41 |
| Total Drug Medicare AllowedAmount | 1070853.96 |
| Total Drug Medicare PaymentAmount | 837132.96 |
| Total Drug Medicare Standardized Payment Amount | 837132.96 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 85 |
| Number Of Medical Services | 12259 |
| Number Of Medicare Beneficiaries With Medical Services | 887 |
| Total Medical Submitted Charge Amount | 553020.65 |
| Total Medical Medicare Allowed Amount | 502219.86 |
| Total Medical Medicare Payment Amount | 391484.65 |
| Total Medical Medicare Standardized Payment Amount | 372181.43 |
| Average Age Of Beneficiaries | 79 |
| Number Of Beneficiaries Age Less65 | 28 |
| Number Of Beneficiaries Age 65 to 74 | 244 |
| Number Of Beneficiaries Age 75 to 84 | 343 |
| Number Of Beneficiaries Age Greater 84 | 272 |
| Number Of Female Beneficiaries | 723 |
| Number Of Male Beneficiaries | 164 |
| Number Of Non Hispanic White Beneficiaries | 861 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 11 |
| Number Of Beneficiaries With Medicare Only Entitlement | 871 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 16 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 50 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4744 |