| National Provider Identifier [NPI]: | 1982698759 |
| Last Name Of The Provider | POLLICK |
| First Name Of The Provider | CHARLES |
| 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 | 1245 WILSHIRE BLVD |
| Street Address 2 Of The Provider | STE 703 |
| City Of The Provider | LOS ANGELES |
| Zip Code Of The Provider | 900174807 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 67 |
| Number Of Services | 6931 |
| Number Of Medicare Beneficiaries | 2620 |
| Total Submitted Charge Amount | 1950584 |
| Total Medicare Allowed Amount | 649635.11 |
| Total Medicare Payment Amount | 492205.48 |
| Total Medicare Standardized Payment Amount | 453698.16 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 869 |
| Number Of Medicare Beneficiaries With Drug Services | 241 |
| Total Drug Submitted ChargeAmount | 136827 |
| Total Drug Medicare AllowedAmount | 45819.12 |
| Total Drug Medicare PaymentAmount | 35746.77 |
| Total Drug Medicare Standardized Payment Amount | 35746.77 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 64 |
| Number Of Medical Services | 6062 |
| Number Of Medicare Beneficiaries With Medical Services | 2619 |
| Total Medical Submitted Charge Amount | 1813757 |
| Total Medical Medicare Allowed Amount | 603815.99 |
| Total Medical Medicare Payment Amount | 456458.71 |
| Total Medical Medicare Standardized Payment Amount | 417951.39 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 250 |
| Number Of Beneficiaries Age 65 to 74 | 850 |
| Number Of Beneficiaries Age 75 to 84 | 861 |
| Number Of Beneficiaries Age Greater 84 | 659 |
| Number Of Female Beneficiaries | 1203 |
| Number Of Male Beneficiaries | 1417 |
| Number Of Non Hispanic White Beneficiaries | 1473 |
| Number Of Black or African American Beneficiaries | 320 |
| Number Of AsianPacific Islander Beneficiaries | 344 |
| Number Of Hispanic Beneficiaries | 412 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1503 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1117 |
| Percent Of With Atrial Fibrillation | 36 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 62 |
| Percent Of With Chronic Kidney Disease | 50 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 52 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.3893 |