| National Provider Identifier [NPI]: | 1518942606 |
| Last Name Of The Provider | FRIEDMAN |
| First Name Of The Provider | NORMAN |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1110 HOSPITAL ROAD |
| Street Address 2 Of The Provider | DERMATOLOGY DEPARTMENT |
| City Of The Provider | FORT WALTON BEACH |
| Zip Code Of The Provider | 32547 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 60 |
| Number Of Services | 9772 |
| Number Of Medicare Beneficiaries | 2400 |
| Total Submitted Charge Amount | 1091718 |
| Total Medicare Allowed Amount | 520865.69 |
| Total Medicare Payment Amount | 367825.01 |
| Total Medicare Standardized Payment Amount | 366575.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 271 |
| Number Of Medicare Beneficiaries With Drug Services | 62 |
| Total Drug Submitted ChargeAmount | 1088 |
| Total Drug Medicare AllowedAmount | 491.45 |
| Total Drug Medicare PaymentAmount | 332.87 |
| Total Drug Medicare Standardized Payment Amount | 332.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 58 |
| Number Of Medical Services | 9501 |
| Number Of Medicare Beneficiaries With Medical Services | 2400 |
| Total Medical Submitted Charge Amount | 1090630 |
| Total Medical Medicare Allowed Amount | 520374.24 |
| Total Medical Medicare Payment Amount | 367492.14 |
| Total Medical Medicare Standardized Payment Amount | 366242.81 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 66 |
| Number Of Beneficiaries Age 65 to 74 | 861 |
| Number Of Beneficiaries Age 75 to 84 | 1114 |
| Number Of Beneficiaries Age Greater 84 | 359 |
| Number Of Female Beneficiaries | 1143 |
| Number Of Male Beneficiaries | 1257 |
| Number Of Non Hispanic White Beneficiaries | 2304 |
| Number Of Black or African American Beneficiaries | 26 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 26 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2322 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 78 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 10 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0449 |