| National Provider Identifier [NPI]: | 1184623241 |
| Last Name Of The Provider | SHIVER |
| First Name Of The Provider | MAX |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2 48TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | VALLEY |
| Zip Code Of The Provider | 368543615 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Emergency Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 77 |
| Number Of Services | 5746 |
| Number Of Medicare Beneficiaries | 2538 |
| Total Submitted Charge Amount | 2193073.89 |
| Total Medicare Allowed Amount | 390785.37 |
| Total Medicare Payment Amount | 289814.99 |
| Total Medicare Standardized Payment Amount | 308466.56 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 58 |
| Number Of Medicare Beneficiaries With Drug Services | 49 |
| Total Drug Submitted ChargeAmount | 1026.29 |
| Total Drug Medicare AllowedAmount | 967.52 |
| Total Drug Medicare PaymentAmount | 930.84 |
| Total Drug Medicare Standardized Payment Amount | 930.84 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 70 |
| Number Of Medical Services | 5688 |
| Number Of Medicare Beneficiaries With Medical Services | 2538 |
| Total Medical Submitted Charge Amount | 2192047.6 |
| Total Medical Medicare Allowed Amount | 389817.85 |
| Total Medical Medicare Payment Amount | 288884.15 |
| Total Medical Medicare Standardized Payment Amount | 307535.72 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 824 |
| Number Of Beneficiaries Age 65 to 74 | 764 |
| Number Of Beneficiaries Age 75 to 84 | 637 |
| Number Of Beneficiaries Age Greater 84 | 313 |
| Number Of Female Beneficiaries | 1523 |
| Number Of Male Beneficiaries | 1015 |
| Number Of Non Hispanic White Beneficiaries | 1795 |
| Number Of Black or African American Beneficiaries | 712 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 14 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1533 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1005 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.677 |