| National Provider Identifier [NPI]: | 1710934153 |
| Last Name Of The Provider | AWDEH |
| First Name Of The Provider | MAHIR |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6005 PARK AVENUE |
| Street Address 2 Of The Provider | SUITE 500 B |
| City Of The Provider | MEMPHIS |
| Zip Code Of The Provider | 381195215 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 49 |
| Number Of Services | 12537 |
| Number Of Medicare Beneficiaries | 6510 |
| Total Submitted Charge Amount | 1208956 |
| Total Medicare Allowed Amount | 329321.45 |
| Total Medicare Payment Amount | 248863.53 |
| Total Medicare Standardized Payment Amount | 265409.91 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 236 |
| Number Of Medicare Beneficiaries With Drug Services | 53 |
| Total Drug Submitted ChargeAmount | 27164 |
| Total Drug Medicare AllowedAmount | 11084.06 |
| Total Drug Medicare PaymentAmount | 8541.32 |
| Total Drug Medicare Standardized Payment Amount | 8541.32 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 45 |
| Number Of Medical Services | 12301 |
| Number Of Medicare Beneficiaries With Medical Services | 6510 |
| Total Medical Submitted Charge Amount | 1181792 |
| Total Medical Medicare Allowed Amount | 318237.39 |
| Total Medical Medicare Payment Amount | 240322.21 |
| Total Medical Medicare Standardized Payment Amount | 256868.59 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1250 |
| Number Of Beneficiaries Age 65 to 74 | 2130 |
| Number Of Beneficiaries Age 75 to 84 | 2013 |
| Number Of Beneficiaries Age Greater 84 | 1117 |
| Number Of Female Beneficiaries | 3698 |
| Number Of Male Beneficiaries | 2812 |
| Number Of Non Hispanic White Beneficiaries | 4360 |
| Number Of Black or African American Beneficiaries | 2000 |
| Number Of AsianPacific Islander Beneficiaries | 46 |
| Number Of Hispanic Beneficiaries | 59 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4713 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1797 |
| Percent Of With Atrial Fibrillation | 29 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 51 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.1505 |