| National Provider Identifier [NPI]: | 1003961764 |
| Last Name Of The Provider | MAKSOUD |
| First Name Of The Provider | AZIZ |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9350 E 35TH ST N |
| Street Address 2 Of The Provider | STE 101 |
| City Of The Provider | WICHITA |
| Zip Code Of The Provider | 672262019 |
| State Code Of The Provider | KS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 110 |
| Number Of Services | 11052 |
| Number Of Medicare Beneficiaries | 2825 |
| Total Submitted Charge Amount | 2786762 |
| Total Medicare Allowed Amount | 1038554.13 |
| Total Medicare Payment Amount | 788065.78 |
| Total Medicare Standardized Payment Amount | 826854.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 904 |
| Number Of Medicare Beneficiaries With Drug Services | 225 |
| Total Drug Submitted ChargeAmount | 90400 |
| Total Drug Medicare AllowedAmount | 47875.93 |
| Total Drug Medicare PaymentAmount | 37076.83 |
| Total Drug Medicare Standardized Payment Amount | 37076.83 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 109 |
| Number Of Medical Services | 10148 |
| Number Of Medicare Beneficiaries With Medical Services | 2825 |
| Total Medical Submitted Charge Amount | 2696362 |
| Total Medical Medicare Allowed Amount | 990678.2 |
| Total Medical Medicare Payment Amount | 750988.95 |
| Total Medical Medicare Standardized Payment Amount | 789777.21 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 401 |
| Number Of Beneficiaries Age 65 to 74 | 909 |
| Number Of Beneficiaries Age 75 to 84 | 999 |
| Number Of Beneficiaries Age Greater 84 | 516 |
| Number Of Female Beneficiaries | 1506 |
| Number Of Male Beneficiaries | 1319 |
| Number Of Non Hispanic White Beneficiaries | 2596 |
| Number Of Black or African American Beneficiaries | 102 |
| Number Of AsianPacific Islander Beneficiaries | 15 |
| Number Of Hispanic Beneficiaries | 73 |
| Number Of American Indian Alaska Native Beneficiaries | 14 |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2272 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 553 |
| Percent Of With Atrial Fibrillation | 28 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5824 |