| National Provider Identifier [NPI]: | 1306867502 |
| Last Name Of The Provider | MUBARAK |
| First Name Of The Provider | HASHEM |
| 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 | 801 E 6TH STREET |
| Street Address 2 Of The Provider | SUITE 504 |
| City Of The Provider | PANAMA CITY |
| Zip Code Of The Provider | 324013663 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 59 |
| Number Of Services | 10108 |
| Number Of Medicare Beneficiaries | 4103 |
| Total Submitted Charge Amount | 2344299.01 |
| Total Medicare Allowed Amount | 761054.45 |
| Total Medicare Payment Amount | 584765.16 |
| Total Medicare Standardized Payment Amount | 592931.48 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 1018 |
| Number Of Medicare Beneficiaries With Drug Services | 205 |
| Total Drug Submitted ChargeAmount | 48422.01 |
| Total Drug Medicare AllowedAmount | 43400.57 |
| Total Drug Medicare PaymentAmount | 33567.19 |
| Total Drug Medicare Standardized Payment Amount | 33567.19 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 55 |
| Number Of Medical Services | 9090 |
| Number Of Medicare Beneficiaries With Medical Services | 4103 |
| Total Medical Submitted Charge Amount | 2295877 |
| Total Medical Medicare Allowed Amount | 717653.88 |
| Total Medical Medicare Payment Amount | 551197.97 |
| Total Medical Medicare Standardized Payment Amount | 559364.29 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 702 |
| Number Of Beneficiaries Age 65 to 74 | 1518 |
| Number Of Beneficiaries Age 75 to 84 | 1312 |
| Number Of Beneficiaries Age Greater 84 | 571 |
| Number Of Female Beneficiaries | 2150 |
| Number Of Male Beneficiaries | 1953 |
| Number Of Non Hispanic White Beneficiaries | 3640 |
| Number Of Black or African American Beneficiaries | 358 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 51 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3016 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1087 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 39 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 73 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.7124 |