| National Provider Identifier [NPI]: | 1639277478 |
| Last Name Of The Provider | FARES |
| First Name Of The Provider | MAAN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12301 SNOW RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | PARMA |
| Zip Code Of The Provider | 441301002 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 36 |
| Number Of Services | 9357 |
| Number Of Medicare Beneficiaries | 6832 |
| Total Submitted Charge Amount | 1116062 |
| Total Medicare Allowed Amount | 160505.5 |
| Total Medicare Payment Amount | 121120.73 |
| Total Medicare Standardized Payment Amount | 123552.53 |
| 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 | 36 |
| Number Of Medical Services | 9357 |
| Number Of Medicare Beneficiaries With Medical Services | 6832 |
| Total Medical Submitted Charge Amount | 1116062 |
| Total Medical Medicare Allowed Amount | 160505.5 |
| Total Medical Medicare Payment Amount | 121120.73 |
| Total Medical Medicare Standardized Payment Amount | 123552.53 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1101 |
| Number Of Beneficiaries Age 65 to 74 | 3056 |
| Number Of Beneficiaries Age 75 to 84 | 2024 |
| Number Of Beneficiaries Age Greater 84 | 651 |
| Number Of Female Beneficiaries | 2928 |
| Number Of Male Beneficiaries | 3904 |
| Number Of Non Hispanic White Beneficiaries | 5592 |
| Number Of Black or African American Beneficiaries | 888 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 114 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 155 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5705 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1127 |
| Percent Of With Atrial Fibrillation | 36 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7943 |