| National Provider Identifier [NPI]: | 1275535817 |
| Last Name Of The Provider | HEPP |
| First Name Of The Provider | WALTER |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1950 ARLINGTON ST |
| Street Address 2 Of The Provider | SUITE 400 |
| City Of The Provider | SARASOTA |
| Zip Code Of The Provider | 342393513 |
| 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 | 70 |
| Number Of Services | 10725 |
| Number Of Medicare Beneficiaries | 3814 |
| Total Submitted Charge Amount | 1515359.32 |
| Total Medicare Allowed Amount | 785632.82 |
| Total Medicare Payment Amount | 586998.59 |
| Total Medicare Standardized Payment Amount | 597753.73 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 553 |
| Number Of Medicare Beneficiaries With Drug Services | 121 |
| Total Drug Submitted ChargeAmount | 5117 |
| Total Drug Medicare AllowedAmount | 1700.35 |
| Total Drug Medicare PaymentAmount | 1329.66 |
| Total Drug Medicare Standardized Payment Amount | 1329.66 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 68 |
| Number Of Medical Services | 10172 |
| Number Of Medicare Beneficiaries With Medical Services | 3814 |
| Total Medical Submitted Charge Amount | 1510242.32 |
| Total Medical Medicare Allowed Amount | 783932.47 |
| Total Medical Medicare Payment Amount | 585668.93 |
| Total Medical Medicare Standardized Payment Amount | 596424.07 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 268 |
| Number Of Beneficiaries Age 65 to 74 | 1207 |
| Number Of Beneficiaries Age 75 to 84 | 1374 |
| Number Of Beneficiaries Age Greater 84 | 965 |
| Number Of Female Beneficiaries | 1834 |
| Number Of Male Beneficiaries | 1980 |
| Number Of Non Hispanic White Beneficiaries | 3551 |
| Number Of Black or African American Beneficiaries | 137 |
| Number Of AsianPacific Islander Beneficiaries | 14 |
| Number Of Hispanic Beneficiaries | 71 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3378 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 436 |
| Percent Of With Atrial Fibrillation | 34 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 64 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6344 |