| National Provider Identifier [NPI]: | 1780625558 |
| Last Name Of The Provider | SHAHEEN |
| First Name Of The Provider | WASSIM |
| 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 | 551 N HILLSIDE ST |
| Street Address 2 Of The Provider | SUITE # 410 |
| City Of The Provider | WICHITA |
| Zip Code Of The Provider | 672144923 |
| State Code Of The Provider | KS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 129 |
| Number Of Services | 21555 |
| Number Of Medicare Beneficiaries | 4066 |
| Total Submitted Charge Amount | 5034036.87 |
| Total Medicare Allowed Amount | 1754368.77 |
| Total Medicare Payment Amount | 1309861.37 |
| Total Medicare Standardized Payment Amount | 1399247.9 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 2413 |
| Number Of Medicare Beneficiaries With Drug Services | 339 |
| Total Drug Submitted ChargeAmount | 311961.2 |
| Total Drug Medicare AllowedAmount | 69588.53 |
| Total Drug Medicare PaymentAmount | 53264.66 |
| Total Drug Medicare Standardized Payment Amount | 53264.66 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 122 |
| Number Of Medical Services | 19142 |
| Number Of Medicare Beneficiaries With Medical Services | 4066 |
| Total Medical Submitted Charge Amount | 4722075.67 |
| Total Medical Medicare Allowed Amount | 1684780.24 |
| Total Medical Medicare Payment Amount | 1256596.71 |
| Total Medical Medicare Standardized Payment Amount | 1345983.24 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 802 |
| Number Of Beneficiaries Age 65 to 74 | 1388 |
| Number Of Beneficiaries Age 75 to 84 | 1207 |
| Number Of Beneficiaries Age Greater 84 | 669 |
| Number Of Female Beneficiaries | 2211 |
| Number Of Male Beneficiaries | 1855 |
| Number Of Non Hispanic White Beneficiaries | 3428 |
| Number Of Black or African American Beneficiaries | 378 |
| Number Of AsianPacific Islander Beneficiaries | 46 |
| Number Of Hispanic Beneficiaries | 153 |
| Number Of American Indian Alaska Native Beneficiaries | 32 |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3060 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1006 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.8882 |