| National Provider Identifier [NPI]: | 1891748109 |
| Last Name Of The Provider | HERLICH |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 210 W ATLANTIC AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | HADDON HEIGHTS |
| Zip Code Of The Provider | 080351715 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 44 |
| Number Of Services | 6130 |
| Number Of Medicare Beneficiaries | 3264 |
| Total Submitted Charge Amount | 824643.4 |
| Total Medicare Allowed Amount | 460736.72 |
| Total Medicare Payment Amount | 345222.36 |
| Total Medicare Standardized Payment Amount | 329472.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 628 |
| Number Of Medicare Beneficiaries With Drug Services | 58 |
| Total Drug Submitted ChargeAmount | 12325.4 |
| Total Drug Medicare AllowedAmount | 11905.13 |
| Total Drug Medicare PaymentAmount | 9096.55 |
| Total Drug Medicare Standardized Payment Amount | 9096.55 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 41 |
| Number Of Medical Services | 5502 |
| Number Of Medicare Beneficiaries With Medical Services | 3264 |
| Total Medical Submitted Charge Amount | 812318 |
| Total Medical Medicare Allowed Amount | 448831.59 |
| Total Medical Medicare Payment Amount | 336125.81 |
| Total Medical Medicare Standardized Payment Amount | 320376.13 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 437 |
| Number Of Beneficiaries Age 65 to 74 | 1045 |
| Number Of Beneficiaries Age 75 to 84 | 995 |
| Number Of Beneficiaries Age Greater 84 | 787 |
| Number Of Female Beneficiaries | 1854 |
| Number Of Male Beneficiaries | 1410 |
| Number Of Non Hispanic White Beneficiaries | 2626 |
| Number Of Black or African American Beneficiaries | 402 |
| Number Of AsianPacific Islander Beneficiaries | 48 |
| Number Of Hispanic Beneficiaries | 147 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2676 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 588 |
| Percent Of With Atrial Fibrillation | 31 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 17 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 19 |
| Average HCC Risk Score Of Beneficiaries | 1.9749 |