| National Provider Identifier [NPI]: | 1891781530 |
| Last Name Of The Provider | ORIBA |
| First Name Of The Provider | HOWARD |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4002 SUN CITY CENTER BLVD |
| Street Address 2 Of The Provider | UNIT 102 |
| City Of The Provider | SUN CITY CENTER |
| Zip Code Of The Provider | 335735208 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 90 |
| Number Of Services | 17537 |
| Number Of Medicare Beneficiaries | 2920 |
| Total Submitted Charge Amount | 3029330.2 |
| Total Medicare Allowed Amount | 1997543.98 |
| Total Medicare Payment Amount | 1513701.48 |
| Total Medicare Standardized Payment Amount | 1400161.22 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 49 |
| Number Of Medicare Beneficiaries With Drug Services | 16 |
| Total Drug Submitted ChargeAmount | 490 |
| Total Drug Medicare AllowedAmount | 87.69 |
| Total Drug Medicare PaymentAmount | 63.02 |
| Total Drug Medicare Standardized Payment Amount | 63.02 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 89 |
| Number Of Medical Services | 17488 |
| Number Of Medicare Beneficiaries With Medical Services | 2920 |
| Total Medical Submitted Charge Amount | 3028840.2 |
| Total Medical Medicare Allowed Amount | 1997456.29 |
| Total Medical Medicare Payment Amount | 1513638.46 |
| Total Medical Medicare Standardized Payment Amount | 1400098.2 |
| Average Age Of Beneficiaries | 79 |
| Number Of Beneficiaries Age Less65 | 58 |
| Number Of Beneficiaries Age 65 to 74 | 877 |
| Number Of Beneficiaries Age 75 to 84 | 1226 |
| Number Of Beneficiaries Age Greater 84 | 759 |
| Number Of Female Beneficiaries | 1451 |
| Number Of Male Beneficiaries | 1469 |
| Number Of Non Hispanic White Beneficiaries | 2857 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 25 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2852 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 68 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1788 |