| National Provider Identifier [NPI]: | 1104931260 |
| Last Name Of The Provider | MALAK |
| First Name Of The Provider | TAYMOUR |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2800 N CALIFORNIA ST STE 11 |
| Street Address 2 Of The Provider | 2800 N. CALIFORNIA STREET SUITE 11 |
| City Of The Provider | STOCKTON |
| Zip Code Of The Provider | 952043758 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 96 |
| Number Of Services | 12520 |
| Number Of Medicare Beneficiaries | 1439 |
| Total Submitted Charge Amount | 956134 |
| Total Medicare Allowed Amount | 577945.39 |
| Total Medicare Payment Amount | 399697.24 |
| Total Medicare Standardized Payment Amount | 378109.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 28 |
| Number Of Drug Services | 4451 |
| Number Of Medicare Beneficiaries With Drug Services | 647 |
| Total Drug Submitted ChargeAmount | 99804 |
| Total Drug Medicare AllowedAmount | 19075.12 |
| Total Drug Medicare PaymentAmount | 15780.49 |
| Total Drug Medicare Standardized Payment Amount | 15780.49 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 68 |
| Number Of Medical Services | 8069 |
| Number Of Medicare Beneficiaries With Medical Services | 1439 |
| Total Medical Submitted Charge Amount | 856330 |
| Total Medical Medicare Allowed Amount | 558870.27 |
| Total Medical Medicare Payment Amount | 383916.75 |
| Total Medical Medicare Standardized Payment Amount | 362329.15 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 389 |
| Number Of Beneficiaries Age 65 to 74 | 517 |
| Number Of Beneficiaries Age 75 to 84 | 346 |
| Number Of Beneficiaries Age Greater 84 | 187 |
| Number Of Female Beneficiaries | 835 |
| Number Of Male Beneficiaries | 604 |
| Number Of Non Hispanic White Beneficiaries | 706 |
| Number Of Black or African American Beneficiaries | 180 |
| Number Of AsianPacific Islander Beneficiaries | 100 |
| Number Of Hispanic Beneficiaries | 422 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 626 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 813 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 4 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 30 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.3403 |