| National Provider Identifier [NPI]: | 1215916721 |
| Last Name Of The Provider | HORMOZI |
| First Name Of The Provider | SHAHRAM |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 515 ROUTE 111 |
| Street Address 2 Of The Provider | 2ND FLOOR |
| City Of The Provider | HAUPPAUGE |
| Zip Code Of The Provider | 11788 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 82 |
| Number Of Services | 8916 |
| Number Of Medicare Beneficiaries | 3239 |
| Total Submitted Charge Amount | 2902261.61 |
| Total Medicare Allowed Amount | 987906.97 |
| Total Medicare Payment Amount | 759167.66 |
| Total Medicare Standardized Payment Amount | 675875.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 245 |
| Number Of Medicare Beneficiaries With Drug Services | 89 |
| Total Drug Submitted ChargeAmount | 35010 |
| Total Drug Medicare AllowedAmount | 8067.36 |
| Total Drug Medicare PaymentAmount | 6325.12 |
| Total Drug Medicare Standardized Payment Amount | 6325.12 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 78 |
| Number Of Medical Services | 8671 |
| Number Of Medicare Beneficiaries With Medical Services | 3239 |
| Total Medical Submitted Charge Amount | 2867251.61 |
| Total Medical Medicare Allowed Amount | 979839.61 |
| Total Medical Medicare Payment Amount | 752842.54 |
| Total Medical Medicare Standardized Payment Amount | 669549.92 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 440 |
| Number Of Beneficiaries Age 65 to 74 | 1167 |
| Number Of Beneficiaries Age 75 to 84 | 1013 |
| Number Of Beneficiaries Age Greater 84 | 619 |
| Number Of Female Beneficiaries | 1781 |
| Number Of Male Beneficiaries | 1458 |
| Number Of Non Hispanic White Beneficiaries | 2385 |
| Number Of Black or African American Beneficiaries | 327 |
| Number Of AsianPacific Islander Beneficiaries | 152 |
| Number Of Hispanic Beneficiaries | 316 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2245 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 994 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 51 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.809 |