| National Provider Identifier [NPI]: | 1780788919 |
| Last Name Of The Provider | WEISS |
| First Name Of The Provider | CHARLES |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 795 EL CAMINO REAL |
| Street Address 2 Of The Provider | |
| City Of The Provider | PALO ALTO |
| Zip Code Of The Provider | 943012302 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Emergency Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 67 |
| Number Of Services | 23979 |
| Number Of Medicare Beneficiaries | 11104 |
| Total Submitted Charge Amount | 836633 |
| Total Medicare Allowed Amount | 704517.78 |
| Total Medicare Payment Amount | 675248.76 |
| Total Medicare Standardized Payment Amount | 605270.51 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 31 |
| Number Of Drug Services | 12393 |
| Number Of Medicare Beneficiaries With Drug Services | 10835 |
| Total Drug Submitted ChargeAmount | 348970 |
| Total Drug Medicare AllowedAmount | 309641.86 |
| Total Drug Medicare PaymentAmount | 303116.83 |
| Total Drug Medicare Standardized Payment Amount | 303116.83 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 36 |
| Number Of Medical Services | 11586 |
| Number Of Medicare Beneficiaries With Medical Services | 11063 |
| Total Medical Submitted Charge Amount | 487663 |
| Total Medical Medicare Allowed Amount | 394875.92 |
| Total Medical Medicare Payment Amount | 372131.93 |
| Total Medical Medicare Standardized Payment Amount | 302153.68 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 373 |
| Number Of Beneficiaries Age 65 to 74 | 6220 |
| Number Of Beneficiaries Age 75 to 84 | 3281 |
| Number Of Beneficiaries Age Greater 84 | 1230 |
| Number Of Female Beneficiaries | 6300 |
| Number Of Male Beneficiaries | 4804 |
| Number Of Non Hispanic White Beneficiaries | 8118 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 1730 |
| Number Of Hispanic Beneficiaries | 591 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 478 |
| Number Of Beneficiaries With Medicare Only Entitlement | 10136 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 968 |
| Percent Of With Atrial Fibrillation | 8 |
| Percent Of With Alzheimers Disease or Dementia | 3 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 6 |
| Percent Of With Chronic Kidney Disease | 12 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 4 |
| Percent Of With Depression | 11 |
| Percent Of With Diabetes | 17 |
| Percent Of With Hyperlipidemia | 43 |
| Percent Of With Hypertension | 43 |
| Percent Of With Ischemic Heart Disease | 15 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 22 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 2 |
| Average HCC Risk Score Of Beneficiaries | 0.7644 |