| National Provider Identifier [NPI]: | 1689894867 |
| Last Name Of The Provider | FELDMAN |
| First Name Of The Provider | DUSTIN |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 32255 NORTHWESTERN HWY |
| Street Address 2 Of The Provider | SUITE 115 |
| City Of The Provider | FARMINGTON HILLS |
| Zip Code Of The Provider | 483341566 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 116 |
| Number Of Services | 4434 |
| Number Of Medicare Beneficiaries | 1432 |
| Total Submitted Charge Amount | 1171471.2 |
| Total Medicare Allowed Amount | 550969.27 |
| Total Medicare Payment Amount | 427367.12 |
| Total Medicare Standardized Payment Amount | 421822.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 666 |
| Number Of Medicare Beneficiaries With Drug Services | 87 |
| Total Drug Submitted ChargeAmount | 14341.5 |
| Total Drug Medicare AllowedAmount | 10599.18 |
| Total Drug Medicare PaymentAmount | 8233.14 |
| Total Drug Medicare Standardized Payment Amount | 8233.14 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 111 |
| Number Of Medical Services | 3768 |
| Number Of Medicare Beneficiaries With Medical Services | 1432 |
| Total Medical Submitted Charge Amount | 1157129.7 |
| Total Medical Medicare Allowed Amount | 540370.09 |
| Total Medical Medicare Payment Amount | 419133.98 |
| Total Medical Medicare Standardized Payment Amount | 413588.9 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 217 |
| Number Of Beneficiaries Age 65 to 74 | 507 |
| Number Of Beneficiaries Age 75 to 84 | 424 |
| Number Of Beneficiaries Age Greater 84 | 284 |
| Number Of Female Beneficiaries | 834 |
| Number Of Male Beneficiaries | 598 |
| Number Of Non Hispanic White Beneficiaries | 902 |
| Number Of Black or African American Beneficiaries | 454 |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | 16 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1051 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 381 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 46 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 56 |
| 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 | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.8973 |