| National Provider Identifier [NPI]: | 1154398337 |
| Last Name Of The Provider | TALLE |
| First Name Of The Provider | ARMAN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6750 E BAYWOOD AVE |
| Street Address 2 Of The Provider | 301 |
| City Of The Provider | MESA |
| Zip Code Of The Provider | 852061749 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 52 |
| Number Of Services | 7751 |
| Number Of Medicare Beneficiaries | 2016 |
| Total Submitted Charge Amount | 1121497 |
| Total Medicare Allowed Amount | 559363.59 |
| Total Medicare Payment Amount | 424086.4 |
| Total Medicare Standardized Payment Amount | 429822.3 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 409 |
| Number Of Medicare Beneficiaries With Drug Services | 103 |
| Total Drug Submitted ChargeAmount | 43352 |
| Total Drug Medicare AllowedAmount | 21609.28 |
| Total Drug Medicare PaymentAmount | 16817.62 |
| Total Drug Medicare Standardized Payment Amount | 16817.62 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 50 |
| Number Of Medical Services | 7342 |
| Number Of Medicare Beneficiaries With Medical Services | 2016 |
| Total Medical Submitted Charge Amount | 1078145 |
| Total Medical Medicare Allowed Amount | 537754.31 |
| Total Medical Medicare Payment Amount | 407268.78 |
| Total Medical Medicare Standardized Payment Amount | 413004.68 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 111 |
| Number Of Beneficiaries Age 65 to 74 | 776 |
| Number Of Beneficiaries Age 75 to 84 | 778 |
| Number Of Beneficiaries Age Greater 84 | 351 |
| Number Of Female Beneficiaries | 963 |
| Number Of Male Beneficiaries | 1053 |
| Number Of Non Hispanic White Beneficiaries | 1866 |
| Number Of Black or African American Beneficiaries | 28 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 74 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1893 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 123 |
| Percent Of With Atrial Fibrillation | 46 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.5304 |