| National Provider Identifier [NPI]: | 1104803295 |
| Last Name Of The Provider | NASSER |
| First Name Of The Provider | TONY |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2723 S 7TH STREET |
| Street Address 2 Of The Provider | SUITE A |
| City Of The Provider | TERRE HAUTE |
| Zip Code Of The Provider | 478023558 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 71 |
| Number Of Services | 5136 |
| Number Of Medicare Beneficiaries | 1510 |
| Total Submitted Charge Amount | 843633 |
| Total Medicare Allowed Amount | 356296.02 |
| Total Medicare Payment Amount | 263756.38 |
| Total Medicare Standardized Payment Amount | 279977.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 62 |
| Number Of Medicare Beneficiaries With Drug Services | 11 |
| Total Drug Submitted ChargeAmount | 5245 |
| Total Drug Medicare AllowedAmount | 491.36 |
| Total Drug Medicare PaymentAmount | 385.22 |
| Total Drug Medicare Standardized Payment Amount | 385.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 68 |
| Number Of Medical Services | 5074 |
| Number Of Medicare Beneficiaries With Medical Services | 1510 |
| Total Medical Submitted Charge Amount | 838388 |
| Total Medical Medicare Allowed Amount | 355804.66 |
| Total Medical Medicare Payment Amount | 263371.16 |
| Total Medical Medicare Standardized Payment Amount | 279592.4 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 322 |
| Number Of Beneficiaries Age 65 to 74 | 538 |
| Number Of Beneficiaries Age 75 to 84 | 425 |
| Number Of Beneficiaries Age Greater 84 | 225 |
| Number Of Female Beneficiaries | 825 |
| Number Of Male Beneficiaries | 685 |
| Number Of Non Hispanic White Beneficiaries | 1456 |
| Number Of Black or African American Beneficiaries | 29 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 14 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1048 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 462 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 54 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 44 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.0414 |