| National Provider Identifier [NPI]: | 1003817370 |
| Last Name Of The Provider | ALTON |
| First Name Of The Provider | MARY |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 335 GLESSNER AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | MANSFIELD |
| Zip Code Of The Provider | 449032269 |
| 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 | 55 |
| Number Of Services | 11679 |
| Number Of Medicare Beneficiaries | 3272 |
| Total Submitted Charge Amount | 2524594 |
| Total Medicare Allowed Amount | 916588.59 |
| Total Medicare Payment Amount | 693660.17 |
| Total Medicare Standardized Payment Amount | 733357.41 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 1939 |
| Number Of Medicare Beneficiaries With Drug Services | 489 |
| Total Drug Submitted ChargeAmount | 253710 |
| Total Drug Medicare AllowedAmount | 94804.81 |
| Total Drug Medicare PaymentAmount | 72645.52 |
| Total Drug Medicare Standardized Payment Amount | 72645.52 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 46 |
| Number Of Medical Services | 9740 |
| Number Of Medicare Beneficiaries With Medical Services | 3272 |
| Total Medical Submitted Charge Amount | 2270884 |
| Total Medical Medicare Allowed Amount | 821783.78 |
| Total Medical Medicare Payment Amount | 621014.65 |
| Total Medical Medicare Standardized Payment Amount | 660711.89 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 529 |
| Number Of Beneficiaries Age 65 to 74 | 1170 |
| Number Of Beneficiaries Age 75 to 84 | 1083 |
| Number Of Beneficiaries Age Greater 84 | 490 |
| Number Of Female Beneficiaries | 1694 |
| Number Of Male Beneficiaries | 1578 |
| Number Of Non Hispanic White Beneficiaries | 3038 |
| Number Of Black or African American Beneficiaries | 165 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 19 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2510 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 762 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6619 |