| National Provider Identifier [NPI]: | 1982813028 |
| Last Name Of The Provider | VALACHOVIC |
| First Name Of The Provider | MICHAEL |
| 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 | 3434 SWISS AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | DALLAS |
| Zip Code Of The Provider | 752046251 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 232 |
| Number Of Services | 391426 |
| Number Of Medicare Beneficiaries | 51815 |
| Total Submitted Charge Amount | 24580020.73 |
| Total Medicare Allowed Amount | 5631751.71 |
| Total Medicare Payment Amount | 5373673.37 |
| Total Medicare Standardized Payment Amount | 5479018.1 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 3392 |
| Number Of Medicare Beneficiaries With Drug Services | 166 |
| Total Drug Submitted ChargeAmount | 49792.5 |
| Total Drug Medicare AllowedAmount | 13698.04 |
| Total Drug Medicare PaymentAmount | 11647.26 |
| Total Drug Medicare Standardized Payment Amount | 11647.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 223 |
| Number Of Medical Services | 388034 |
| Number Of Medicare Beneficiaries With Medical Services | 51815 |
| Total Medical Submitted Charge Amount | 24530228.23 |
| Total Medical Medicare Allowed Amount | 5618053.67 |
| Total Medical Medicare Payment Amount | 5362026.11 |
| Total Medical Medicare Standardized Payment Amount | 5467370.84 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 4201 |
| Number Of Beneficiaries Age 65 to 74 | 26970 |
| Number Of Beneficiaries Age 75 to 84 | 15207 |
| Number Of Beneficiaries Age Greater 84 | 5437 |
| Number Of Female Beneficiaries | 30830 |
| Number Of Male Beneficiaries | 20985 |
| Number Of Non Hispanic White Beneficiaries | 44681 |
| Number Of Black or African American Beneficiaries | 3216 |
| Number Of AsianPacific Islander Beneficiaries | 763 |
| Number Of Hispanic Beneficiaries | 2437 |
| Number Of American Indian Alaska Native Beneficiaries | 96 |
| Number Of Beneficiaries With Race Not Else where Classified | 622 |
| Number Of Beneficiaries With Medicare Only Entitlement | 47941 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3874 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0079 |