| National Provider Identifier [NPI]: | 1073599858 |
| Last Name Of The Provider | AHERN |
| First Name Of The Provider | THOMAS |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 10666 N TORREY PINES RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | LA JOLLA |
| Zip Code Of The Provider | 920371027 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 50 |
| Number Of Services | 5272 |
| Number Of Medicare Beneficiaries | 3545 |
| Total Submitted Charge Amount | 598829.1 |
| Total Medicare Allowed Amount | 193185.53 |
| Total Medicare Payment Amount | 139976.57 |
| Total Medicare Standardized Payment Amount | 135719.99 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 23 |
| Number Of Medicare Beneficiaries With Drug Services | 12 |
| Total Drug Submitted ChargeAmount | 3470.6 |
| Total Drug Medicare AllowedAmount | 1256.49 |
| Total Drug Medicare PaymentAmount | 991.64 |
| Total Drug Medicare Standardized Payment Amount | 991.64 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 48 |
| Number Of Medical Services | 5249 |
| Number Of Medicare Beneficiaries With Medical Services | 3545 |
| Total Medical Submitted Charge Amount | 595358.5 |
| Total Medical Medicare Allowed Amount | 191929.04 |
| Total Medical Medicare Payment Amount | 138984.93 |
| Total Medical Medicare Standardized Payment Amount | 134728.35 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 215 |
| Number Of Beneficiaries Age 65 to 74 | 1486 |
| Number Of Beneficiaries Age 75 to 84 | 1199 |
| Number Of Beneficiaries Age Greater 84 | 645 |
| Number Of Female Beneficiaries | 1734 |
| Number Of Male Beneficiaries | 1811 |
| Number Of Non Hispanic White Beneficiaries | 3028 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 165 |
| Number Of Hispanic Beneficiaries | 196 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 86 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3229 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 316 |
| Percent Of With Atrial Fibrillation | 32 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.4265 |