| National Provider Identifier [NPI]: | 1710047709 |
| Last Name Of The Provider | TABRIZCHI |
| First Name Of The Provider | ALI |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 602 S ATWOOD ROAD |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | BEL AIR |
| Zip Code Of The Provider | 21014 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 55 |
| Number Of Services | 8298 |
| Number Of Medicare Beneficiaries | 3058 |
| Total Submitted Charge Amount | 1571345 |
| Total Medicare Allowed Amount | 700846.04 |
| Total Medicare Payment Amount | 518747.16 |
| Total Medicare Standardized Payment Amount | 499615.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 279 |
| Number Of Medicare Beneficiaries With Drug Services | 72 |
| Total Drug Submitted ChargeAmount | 41238 |
| Total Drug Medicare AllowedAmount | 14735.04 |
| Total Drug Medicare PaymentAmount | 11452.24 |
| Total Drug Medicare Standardized Payment Amount | 11452.24 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 54 |
| Number Of Medical Services | 8019 |
| Number Of Medicare Beneficiaries With Medical Services | 3058 |
| Total Medical Submitted Charge Amount | 1530107 |
| Total Medical Medicare Allowed Amount | 686111 |
| Total Medical Medicare Payment Amount | 507294.92 |
| Total Medical Medicare Standardized Payment Amount | 488163.28 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 310 |
| Number Of Beneficiaries Age 65 to 74 | 1192 |
| Number Of Beneficiaries Age 75 to 84 | 1012 |
| Number Of Beneficiaries Age Greater 84 | 544 |
| Number Of Female Beneficiaries | 1644 |
| Number Of Male Beneficiaries | 1414 |
| Number Of Non Hispanic White Beneficiaries | 2732 |
| Number Of Black or African American Beneficiaries | 235 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 34 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 35 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2701 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 357 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 66 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.6261 |