| National Provider Identifier [NPI]: | 1700832664 |
| Last Name Of The Provider | WASSERMAN |
| First Name Of The Provider | BRYAN |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5258 LINTON BLVD |
| Street Address 2 Of The Provider | STE 305 |
| City Of The Provider | DELRAY BEACH |
| Zip Code Of The Provider | 334846540 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 73 |
| Number Of Services | 47627 |
| Number Of Medicare Beneficiaries | 2262 |
| Total Submitted Charge Amount | 2072468 |
| Total Medicare Allowed Amount | 1439555.81 |
| Total Medicare Payment Amount | 1192947.92 |
| Total Medicare Standardized Payment Amount | 1150321.91 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 1044 |
| Number Of Medicare Beneficiaries With Drug Services | 782 |
| Total Drug Submitted ChargeAmount | 42179 |
| Total Drug Medicare AllowedAmount | 21846.46 |
| Total Drug Medicare PaymentAmount | 21232.36 |
| Total Drug Medicare Standardized Payment Amount | 21232.36 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 69 |
| Number Of Medical Services | 46583 |
| Number Of Medicare Beneficiaries With Medical Services | 2262 |
| Total Medical Submitted Charge Amount | 2030289 |
| Total Medical Medicare Allowed Amount | 1417709.35 |
| Total Medical Medicare Payment Amount | 1171715.56 |
| Total Medical Medicare Standardized Payment Amount | 1129089.55 |
| Average Age Of Beneficiaries | 82 |
| Number Of Beneficiaries Age Less65 | |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | 862 |
| Number Of Beneficiaries Age Greater 84 | 939 |
| Number Of Female Beneficiaries | 1304 |
| Number Of Male Beneficiaries | 958 |
| Number Of Non Hispanic White Beneficiaries | 2227 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 15 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2237 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 25 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.567 |