| National Provider Identifier [NPI]: | 1992794465 |
| Last Name Of The Provider | HASKELL |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 415 OLD NEWPORT BLVD |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | NEWPORT BEACH |
| Zip Code Of The Provider | 926634248 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 117 |
| Number Of Services | 11343 |
| Number Of Medicare Beneficiaries | 1617 |
| Total Submitted Charge Amount | 2181837.29 |
| Total Medicare Allowed Amount | 1211606.16 |
| Total Medicare Payment Amount | 916794.9 |
| Total Medicare Standardized Payment Amount | 865579.72 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 963 |
| Number Of Medicare Beneficiaries With Drug Services | 277 |
| Total Drug Submitted ChargeAmount | 138847.56 |
| Total Drug Medicare AllowedAmount | 47895.61 |
| Total Drug Medicare PaymentAmount | 37460.69 |
| Total Drug Medicare Standardized Payment Amount | 37460.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 113 |
| Number Of Medical Services | 10380 |
| Number Of Medicare Beneficiaries With Medical Services | 1617 |
| Total Medical Submitted Charge Amount | 2042989.73 |
| Total Medical Medicare Allowed Amount | 1163710.55 |
| Total Medical Medicare Payment Amount | 879334.21 |
| Total Medical Medicare Standardized Payment Amount | 828119.03 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 47 |
| Number Of Beneficiaries Age 65 to 74 | 569 |
| Number Of Beneficiaries Age 75 to 84 | 655 |
| Number Of Beneficiaries Age Greater 84 | 346 |
| Number Of Female Beneficiaries | 625 |
| Number Of Male Beneficiaries | 992 |
| Number Of Non Hispanic White Beneficiaries | 1453 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 80 |
| Number Of Hispanic Beneficiaries | 40 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1541 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 76 |
| Percent Of With Atrial Fibrillation | 34 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.389 |