| National Provider Identifier [NPI]: | 1225074354 |
| Last Name Of The Provider | SERVOSS |
| First Name Of The Provider | STEPHEN |
| 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 | 1000 NW 9TH CT |
| Street Address 2 Of The Provider | SUITE 101 |
| City Of The Provider | BOCA RATON |
| Zip Code Of The Provider | 334862268 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 83 |
| Number Of Services | 12587 |
| Number Of Medicare Beneficiaries | 1796 |
| Total Submitted Charge Amount | 1206753.36 |
| Total Medicare Allowed Amount | 1076939.59 |
| Total Medicare Payment Amount | 819314.87 |
| Total Medicare Standardized Payment Amount | 771173.79 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 636 |
| Number Of Medicare Beneficiaries With Drug Services | 159 |
| Total Drug Submitted ChargeAmount | 47495 |
| Total Drug Medicare AllowedAmount | 33544.06 |
| Total Drug Medicare PaymentAmount | 26165.68 |
| Total Drug Medicare Standardized Payment Amount | 26165.68 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 82 |
| Number Of Medical Services | 11951 |
| Number Of Medicare Beneficiaries With Medical Services | 1796 |
| Total Medical Submitted Charge Amount | 1159258.36 |
| Total Medical Medicare Allowed Amount | 1043395.53 |
| Total Medical Medicare Payment Amount | 793149.19 |
| Total Medical Medicare Standardized Payment Amount | 745008.11 |
| Average Age Of Beneficiaries | 79 |
| Number Of Beneficiaries Age Less65 | 33 |
| Number Of Beneficiaries Age 65 to 74 | 515 |
| Number Of Beneficiaries Age 75 to 84 | 690 |
| Number Of Beneficiaries Age Greater 84 | 558 |
| Number Of Female Beneficiaries | 848 |
| Number Of Male Beneficiaries | 948 |
| Number Of Non Hispanic White Beneficiaries | 1731 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 24 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1752 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 44 |
| Percent Of With Atrial Fibrillation | 33 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7053 |