| National Provider Identifier [NPI]: | 1619198041 |
| Last Name Of The Provider | SHEHATA |
| First Name Of The Provider | MICHAEL |
| 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 | 8700 BEVERLY BLVD RM 5526B |
| Street Address 2 Of The Provider | DIVISION OF CARDIOLOGY |
| City Of The Provider | WEST HOLLYWOOD |
| Zip Code Of The Provider | 900481804 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 58 |
| Number Of Services | 9355 |
| Number Of Medicare Beneficiaries | 4922 |
| Total Submitted Charge Amount | 581678 |
| Total Medicare Allowed Amount | 189368.61 |
| Total Medicare Payment Amount | 141202.02 |
| Total Medicare Standardized Payment Amount | 134522.16 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 58 |
| Number Of Medical Services | 9355 |
| Number Of Medicare Beneficiaries With Medical Services | 4922 |
| Total Medical Submitted Charge Amount | 581678 |
| Total Medical Medicare Allowed Amount | 189368.61 |
| Total Medical Medicare Payment Amount | 141202.02 |
| Total Medical Medicare Standardized Payment Amount | 134522.16 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 667 |
| Number Of Beneficiaries Age 65 to 74 | 1657 |
| Number Of Beneficiaries Age 75 to 84 | 1413 |
| Number Of Beneficiaries Age Greater 84 | 1185 |
| Number Of Female Beneficiaries | 2321 |
| Number Of Male Beneficiaries | 2601 |
| Number Of Non Hispanic White Beneficiaries | 3315 |
| Number Of Black or African American Beneficiaries | 646 |
| Number Of AsianPacific Islander Beneficiaries | 331 |
| Number Of Hispanic Beneficiaries | 483 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3052 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1870 |
| Percent Of With Atrial Fibrillation | 32 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 61 |
| Percent Of With Chronic Kidney Disease | 53 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.5849 |