| National Provider Identifier [NPI]: | 1508883133 |
| Last Name Of The Provider | RAO |
| First Name Of The Provider | FAYE |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4300 W. MAIN STREET |
| Street Address 2 Of The Provider | SUITE 102 |
| City Of The Provider | DOTHAN |
| Zip Code Of The Provider | 36305 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 47 |
| Number Of Services | 8714 |
| Number Of Medicare Beneficiaries | 3472 |
| Total Submitted Charge Amount | 1137720 |
| Total Medicare Allowed Amount | 556562.07 |
| Total Medicare Payment Amount | 408681.19 |
| Total Medicare Standardized Payment Amount | 450340.19 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 740 |
| Number Of Medicare Beneficiaries With Drug Services | 183 |
| Total Drug Submitted ChargeAmount | 53280 |
| Total Drug Medicare AllowedAmount | 39180.02 |
| Total Drug Medicare PaymentAmount | 28976.75 |
| Total Drug Medicare Standardized Payment Amount | 28976.75 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 46 |
| Number Of Medical Services | 7974 |
| Number Of Medicare Beneficiaries With Medical Services | 3472 |
| Total Medical Submitted Charge Amount | 1084440 |
| Total Medical Medicare Allowed Amount | 517382.05 |
| Total Medical Medicare Payment Amount | 379704.44 |
| Total Medical Medicare Standardized Payment Amount | 421363.44 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 500 |
| Number Of Beneficiaries Age 65 to 74 | 1354 |
| Number Of Beneficiaries Age 75 to 84 | 1187 |
| Number Of Beneficiaries Age Greater 84 | 431 |
| Number Of Female Beneficiaries | 1782 |
| Number Of Male Beneficiaries | 1690 |
| Number Of Non Hispanic White Beneficiaries | 2991 |
| Number Of Black or African American Beneficiaries | 426 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 29 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2763 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 709 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4419 |