| National Provider Identifier [NPI]: | 1578527263 |
| Last Name Of The Provider | MOORE |
| First Name Of The Provider | EDWARD |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 520 MARY ST. |
| Street Address 2 Of The Provider | SUITE 230 |
| City Of The Provider | EVANSVILLE |
| Zip Code Of The Provider | 477101678 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 79 |
| Number Of Services | 5336 |
| Number Of Medicare Beneficiaries | 2362 |
| Total Submitted Charge Amount | 1381882.41 |
| Total Medicare Allowed Amount | 417293.75 |
| Total Medicare Payment Amount | 309079.26 |
| Total Medicare Standardized Payment Amount | 329810.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 88 |
| Number Of Medicare Beneficiaries With Drug Services | 28 |
| Total Drug Submitted ChargeAmount | 13928 |
| Total Drug Medicare AllowedAmount | 4405.19 |
| Total Drug Medicare PaymentAmount | 3188.3 |
| Total Drug Medicare Standardized Payment Amount | 3188.3 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 76 |
| Number Of Medical Services | 5248 |
| Number Of Medicare Beneficiaries With Medical Services | 2362 |
| Total Medical Submitted Charge Amount | 1367954.41 |
| Total Medical Medicare Allowed Amount | 412888.56 |
| Total Medical Medicare Payment Amount | 305890.96 |
| Total Medical Medicare Standardized Payment Amount | 326622.38 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 380 |
| Number Of Beneficiaries Age 65 to 74 | 757 |
| Number Of Beneficiaries Age 75 to 84 | 759 |
| Number Of Beneficiaries Age Greater 84 | 466 |
| Number Of Female Beneficiaries | 1238 |
| Number Of Male Beneficiaries | 1124 |
| Number Of Non Hispanic White Beneficiaries | 2208 |
| Number Of Black or African American Beneficiaries | 126 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1727 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 635 |
| Percent Of With Atrial Fibrillation | 29 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.786 |