| National Provider Identifier [NPI]: | 1093767493 |
| Last Name Of The Provider | SHAH |
| First Name Of The Provider | HEATHER |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1107 14TH AVE SE |
| Street Address 2 Of The Provider | PLAZA II SUITE 200 |
| City Of The Provider | DECATUR |
| Zip Code Of The Provider | 356013309 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 188 |
| Number Of Services | 301273 |
| Number Of Medicare Beneficiaries | 872 |
| Total Submitted Charge Amount | 7248546 |
| Total Medicare Allowed Amount | 3280318.59 |
| Total Medicare Payment Amount | 2549791.59 |
| Total Medicare Standardized Payment Amount | 2566435.66 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 93 |
| Number Of Drug Services | 283793 |
| Number Of Medicare Beneficiaries With Drug Services | 547 |
| Total Drug Submitted ChargeAmount | 6176271.5 |
| Total Drug Medicare AllowedAmount | 2771434.76 |
| Total Drug Medicare PaymentAmount | 2141847.22 |
| Total Drug Medicare Standardized Payment Amount | 2141847.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 95 |
| Number Of Medical Services | 17480 |
| Number Of Medicare Beneficiaries With Medical Services | 872 |
| Total Medical Submitted Charge Amount | 1072274.5 |
| Total Medical Medicare Allowed Amount | 508883.83 |
| Total Medical Medicare Payment Amount | 407944.37 |
| Total Medical Medicare Standardized Payment Amount | 424588.44 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 141 |
| Number Of Beneficiaries Age 65 to 74 | 379 |
| Number Of Beneficiaries Age 75 to 84 | 265 |
| Number Of Beneficiaries Age Greater 84 | 87 |
| Number Of Female Beneficiaries | 547 |
| Number Of Male Beneficiaries | 325 |
| Number Of Non Hispanic White Beneficiaries | 774 |
| Number Of Black or African American Beneficiaries | |
| 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 | |
| Number Of Beneficiaries With Medicare Only Entitlement | 693 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 179 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 41 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.8315 |