| National Provider Identifier [NPI]: | 1609832674 |
| Last Name Of The Provider | MIRZA |
| First Name Of The Provider | IRFAN |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5653 S HIGHWAY 95 |
| Street Address 2 Of The Provider | |
| City Of The Provider | FORT MOHAVE |
| Zip Code Of The Provider | 864266068 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 143 |
| Number Of Services | 24358 |
| Number Of Medicare Beneficiaries | 4248 |
| Total Submitted Charge Amount | 4783151.01 |
| Total Medicare Allowed Amount | 2345424.68 |
| Total Medicare Payment Amount | 1778608.25 |
| Total Medicare Standardized Payment Amount | 1820238.69 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 2428 |
| Number Of Medicare Beneficiaries With Drug Services | 657 |
| Total Drug Submitted ChargeAmount | 135906.01 |
| Total Drug Medicare AllowedAmount | 93095.66 |
| Total Drug Medicare PaymentAmount | 69205.88 |
| Total Drug Medicare Standardized Payment Amount | 69205.88 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 134 |
| Number Of Medical Services | 21930 |
| Number Of Medicare Beneficiaries With Medical Services | 4248 |
| Total Medical Submitted Charge Amount | 4647245 |
| Total Medical Medicare Allowed Amount | 2252329.02 |
| Total Medical Medicare Payment Amount | 1709402.37 |
| Total Medical Medicare Standardized Payment Amount | 1751032.81 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 479 |
| Number Of Beneficiaries Age 65 to 74 | 1796 |
| Number Of Beneficiaries Age 75 to 84 | 1467 |
| Number Of Beneficiaries Age Greater 84 | 506 |
| Number Of Female Beneficiaries | 2060 |
| Number Of Male Beneficiaries | 2188 |
| Number Of Non Hispanic White Beneficiaries | 3812 |
| Number Of Black or African American Beneficiaries | 57 |
| Number Of AsianPacific Islander Beneficiaries | 28 |
| Number Of Hispanic Beneficiaries | 263 |
| Number Of American Indian Alaska Native Beneficiaries | 49 |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3549 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 699 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.504 |