| National Provider Identifier [NPI]: | 1316903560 |
| Last Name Of The Provider | DAOUD |
| First Name Of The Provider | MAZEN |
| 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 | 12580 UNIVERSITY DR |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339075686 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 111 |
| Number Of Services | 38864 |
| Number Of Medicare Beneficiaries | 4702 |
| Total Submitted Charge Amount | 4986832 |
| Total Medicare Allowed Amount | 3259780.95 |
| Total Medicare Payment Amount | 2473780.69 |
| Total Medicare Standardized Payment Amount | 2130263.03 |
| 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 | 111 |
| Number Of Medical Services | 38864 |
| Number Of Medicare Beneficiaries With Medical Services | 4702 |
| Total Medical Submitted Charge Amount | 4986832 |
| Total Medical Medicare Allowed Amount | 3259780.95 |
| Total Medical Medicare Payment Amount | 2473780.69 |
| Total Medical Medicare Standardized Payment Amount | 2130263.03 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 123 |
| Number Of Beneficiaries Age 65 to 74 | 2293 |
| Number Of Beneficiaries Age 75 to 84 | 1684 |
| Number Of Beneficiaries Age Greater 84 | 602 |
| Number Of Female Beneficiaries | 2280 |
| Number Of Male Beneficiaries | 2422 |
| Number Of Non Hispanic White Beneficiaries | 4539 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 16 |
| Number Of Hispanic Beneficiaries | 72 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 58 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4604 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 98 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 10 |
| Percent Of With Chronic Kidney Disease | 15 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 11 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 64 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9438 |