| National Provider Identifier [NPI]: | 1225038698 |
| Last Name Of The Provider | BOSE |
| First Name Of The Provider | SANJAY |
| 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 | 2601 KENTUCKY AVE |
| Street Address 2 Of The Provider | SUITE 301 |
| City Of The Provider | PADUCAH |
| Zip Code Of The Provider | 420033817 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 116 |
| Number Of Services | 10689 |
| Number Of Medicare Beneficiaries | 3679 |
| Total Submitted Charge Amount | 1292542 |
| Total Medicare Allowed Amount | 523737.58 |
| Total Medicare Payment Amount | 398455 |
| Total Medicare Standardized Payment Amount | 429855.6 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 112 |
| Number Of Medicare Beneficiaries With Drug Services | 28 |
| Total Drug Submitted ChargeAmount | 31472 |
| Total Drug Medicare AllowedAmount | 5943.04 |
| Total Drug Medicare PaymentAmount | 4337.02 |
| Total Drug Medicare Standardized Payment Amount | 4337.02 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 115 |
| Number Of Medical Services | 10577 |
| Number Of Medicare Beneficiaries With Medical Services | 3679 |
| Total Medical Submitted Charge Amount | 1261070 |
| Total Medical Medicare Allowed Amount | 517794.54 |
| Total Medical Medicare Payment Amount | 394117.98 |
| Total Medical Medicare Standardized Payment Amount | 425518.58 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 734 |
| Number Of Beneficiaries Age 65 to 74 | 1313 |
| Number Of Beneficiaries Age 75 to 84 | 1085 |
| Number Of Beneficiaries Age Greater 84 | 547 |
| Number Of Female Beneficiaries | 1958 |
| Number Of Male Beneficiaries | 1721 |
| Number Of Non Hispanic White Beneficiaries | 3448 |
| Number Of Black or African American Beneficiaries | 196 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2664 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1015 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.547 |