| National Provider Identifier [NPI]: | 1013054865 |
| Last Name Of The Provider | COHEN-GADOL |
| First Name Of The Provider | SHARIAR |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 558 SAINT CHARLES DR |
| Street Address 2 Of The Provider | SUITE 110, 111 |
| City Of The Provider | THOUSAND OAKS |
| Zip Code Of The Provider | 913603903 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Rheumatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 123 |
| Number Of Services | 166286 |
| Number Of Medicare Beneficiaries | 1068 |
| Total Submitted Charge Amount | 6919999.4 |
| Total Medicare Allowed Amount | 2911889.86 |
| Total Medicare Payment Amount | 2263726.87 |
| Total Medicare Standardized Payment Amount | 2178707.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 30 |
| Number Of Drug Services | 156314 |
| Number Of Medicare Beneficiaries With Drug Services | 596 |
| Total Drug Submitted ChargeAmount | 4371747 |
| Total Drug Medicare AllowedAmount | 2005443.46 |
| Total Drug Medicare PaymentAmount | 1565497.55 |
| Total Drug Medicare Standardized Payment Amount | 1565497.55 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 93 |
| Number Of Medical Services | 9972 |
| Number Of Medicare Beneficiaries With Medical Services | 1068 |
| Total Medical Submitted Charge Amount | 2548252.4 |
| Total Medical Medicare Allowed Amount | 906446.4 |
| Total Medical Medicare Payment Amount | 698229.32 |
| Total Medical Medicare Standardized Payment Amount | 613209.84 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 120 |
| Number Of Beneficiaries Age 65 to 74 | 496 |
| Number Of Beneficiaries Age 75 to 84 | 331 |
| Number Of Beneficiaries Age Greater 84 | 121 |
| Number Of Female Beneficiaries | 771 |
| Number Of Male Beneficiaries | 297 |
| Number Of Non Hispanic White Beneficiaries | 940 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 34 |
| Number Of Hispanic Beneficiaries | 58 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 983 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 85 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 64 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 47 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.2634 |