| National Provider Identifier [NPI]: | 1730108861 |
| Last Name Of The Provider | FARREHI |
| First Name Of The Provider | PETER |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1500 E MEDICAL CENTER DR |
| Street Address 2 Of The Provider | 3RD FLOOR CARDIOVASCULAR CENTER |
| City Of The Provider | ANN ARBOR |
| Zip Code Of The Provider | 481095856 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 21 |
| Number Of Services | 5625 |
| Number Of Medicare Beneficiaries | 3881 |
| Total Submitted Charge Amount | 491375 |
| Total Medicare Allowed Amount | 113595.41 |
| Total Medicare Payment Amount | 83797.84 |
| Total Medicare Standardized Payment Amount | 82001.72 |
| 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 | 21 |
| Number Of Medical Services | 5625 |
| Number Of Medicare Beneficiaries With Medical Services | 3881 |
| Total Medical Submitted Charge Amount | 491375 |
| Total Medical Medicare Allowed Amount | 113595.41 |
| Total Medical Medicare Payment Amount | 83797.84 |
| Total Medical Medicare Standardized Payment Amount | 82001.72 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 864 |
| Number Of Beneficiaries Age 65 to 74 | 1526 |
| Number Of Beneficiaries Age 75 to 84 | 1025 |
| Number Of Beneficiaries Age Greater 84 | 466 |
| Number Of Female Beneficiaries | 1966 |
| Number Of Male Beneficiaries | 1915 |
| Number Of Non Hispanic White Beneficiaries | 3220 |
| Number Of Black or African American Beneficiaries | 433 |
| Number Of AsianPacific Islander Beneficiaries | 74 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 80 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2989 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 892 |
| Percent Of With Atrial Fibrillation | 28 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 2.0818 |