| National Provider Identifier [NPI]: | 1821087594 |
| Last Name Of The Provider | KING |
| First Name Of The Provider | MARILYN |
| Middle Initial Of The Provider | Y |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 455 PINELLAS ST |
| Street Address 2 Of The Provider | STE 400 |
| City Of The Provider | CLEARWATER |
| Zip Code Of The Provider | 337563354 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 66 |
| Number Of Services | 19577 |
| Number Of Medicare Beneficiaries | 2129 |
| Total Submitted Charge Amount | 1488047.5 |
| Total Medicare Allowed Amount | 701163.12 |
| Total Medicare Payment Amount | 532493.38 |
| Total Medicare Standardized Payment Amount | 540242.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 13143 |
| Number Of Medicare Beneficiaries With Drug Services | 254 |
| Total Drug Submitted ChargeAmount | 54817.5 |
| Total Drug Medicare AllowedAmount | 23947.67 |
| Total Drug Medicare PaymentAmount | 18686.28 |
| Total Drug Medicare Standardized Payment Amount | 18686.28 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 58 |
| Number Of Medical Services | 6434 |
| Number Of Medicare Beneficiaries With Medical Services | 2128 |
| Total Medical Submitted Charge Amount | 1433230 |
| Total Medical Medicare Allowed Amount | 677215.45 |
| Total Medical Medicare Payment Amount | 513807.1 |
| Total Medical Medicare Standardized Payment Amount | 521556.4 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 144 |
| Number Of Beneficiaries Age 65 to 74 | 639 |
| Number Of Beneficiaries Age 75 to 84 | 792 |
| Number Of Beneficiaries Age Greater 84 | 554 |
| Number Of Female Beneficiaries | 1158 |
| Number Of Male Beneficiaries | 971 |
| Number Of Non Hispanic White Beneficiaries | 1978 |
| Number Of Black or African American Beneficiaries | 51 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 57 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 24 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1912 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 217 |
| Percent Of With Atrial Fibrillation | 39 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.6899 |