| National Provider Identifier [NPI]: | 1699712810 |
| Last Name Of The Provider | SOLOMON |
| First Name Of The Provider | SHELDON |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2309 E EVESHAM RD |
| Street Address 2 Of The Provider | SUITE 101 |
| City Of The Provider | VOORHEES |
| Zip Code Of The Provider | 080431559 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Rheumatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 61 |
| Number Of Services | 96032 |
| Number Of Medicare Beneficiaries | 990 |
| Total Submitted Charge Amount | 2592311.19 |
| Total Medicare Allowed Amount | 1936912.18 |
| Total Medicare Payment Amount | 1473845.9 |
| Total Medicare Standardized Payment Amount | 1447571.5 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 27 |
| Number Of Drug Services | 91093 |
| Number Of Medicare Beneficiaries With Drug Services | 645 |
| Total Drug Submitted ChargeAmount | 1981407.39 |
| Total Drug Medicare AllowedAmount | 1603988.48 |
| Total Drug Medicare PaymentAmount | 1224160.88 |
| Total Drug Medicare Standardized Payment Amount | 1224160.88 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 34 |
| Number Of Medical Services | 4939 |
| Number Of Medicare Beneficiaries With Medical Services | 989 |
| Total Medical Submitted Charge Amount | 610903.8 |
| Total Medical Medicare Allowed Amount | 332923.7 |
| Total Medical Medicare Payment Amount | 249685.02 |
| Total Medical Medicare Standardized Payment Amount | 223410.62 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 61 |
| Number Of Beneficiaries Age 65 to 74 | 391 |
| Number Of Beneficiaries Age 75 to 84 | 366 |
| Number Of Beneficiaries Age Greater 84 | 172 |
| Number Of Female Beneficiaries | 772 |
| Number Of Male Beneficiaries | 218 |
| Number Of Non Hispanic White Beneficiaries | 910 |
| Number Of Black or African American Beneficiaries | 44 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 16 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 953 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 37 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 40 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2166 |