| National Provider Identifier [NPI]: | 1083644264 |
| Last Name Of The Provider | ARIDA |
| First Name Of The Provider | MUAMMAR |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1836 SOUTH AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | LA CROSSE |
| Zip Code Of The Provider | 546015429 |
| State Code Of The Provider | WI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 9 |
| Number Of Services | 16022 |
| Number Of Medicare Beneficiaries | 8974 |
| Total Submitted Charge Amount | 2342758.5 |
| Total Medicare Allowed Amount | 980209.21 |
| Total Medicare Payment Amount | 726147.62 |
| Total Medicare Standardized Payment Amount | 531759.65 |
| 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 | 9 |
| Number Of Medical Services | 16022 |
| Number Of Medicare Beneficiaries With Medical Services | 8974 |
| Total Medical Submitted Charge Amount | 2342758.5 |
| Total Medical Medicare Allowed Amount | 980209.21 |
| Total Medical Medicare Payment Amount | 726147.62 |
| Total Medical Medicare Standardized Payment Amount | 531759.65 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 433 |
| Number Of Beneficiaries Age 65 to 74 | 4269 |
| Number Of Beneficiaries Age 75 to 84 | 2996 |
| Number Of Beneficiaries Age Greater 84 | 1276 |
| Number Of Female Beneficiaries | 4095 |
| Number Of Male Beneficiaries | 4879 |
| Number Of Non Hispanic White Beneficiaries | 8592 |
| Number Of Black or African American Beneficiaries | 198 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 39 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 127 |
| Number Of Beneficiaries With Medicare Only Entitlement | 8481 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 493 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 34 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.9693 |