| National Provider Identifier [NPI]: | 1619950169 |
| Last Name Of The Provider | JACOBS |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD PA |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3370 BURNS RD |
| Street Address 2 Of The Provider | SUITE 101 |
| City Of The Provider | PALM BEACH GARDENS |
| Zip Code Of The Provider | 334104327 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 68 |
| Number Of Services | 13809 |
| Number Of Medicare Beneficiaries | 2324 |
| Total Submitted Charge Amount | 1325132.6 |
| Total Medicare Allowed Amount | 661251.2 |
| Total Medicare Payment Amount | 498550.11 |
| Total Medicare Standardized Payment Amount | 489375.53 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 211 |
| Number Of Medicare Beneficiaries With Drug Services | 58 |
| Total Drug Submitted ChargeAmount | 94430 |
| Total Drug Medicare AllowedAmount | 38873.83 |
| Total Drug Medicare PaymentAmount | 29864.45 |
| Total Drug Medicare Standardized Payment Amount | 29864.45 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 64 |
| Number Of Medical Services | 13598 |
| Number Of Medicare Beneficiaries With Medical Services | 2324 |
| Total Medical Submitted Charge Amount | 1230702.6 |
| Total Medical Medicare Allowed Amount | 622377.37 |
| Total Medical Medicare Payment Amount | 468685.66 |
| Total Medical Medicare Standardized Payment Amount | 459511.08 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 49 |
| Number Of Beneficiaries Age 65 to 74 | 825 |
| Number Of Beneficiaries Age 75 to 84 | 912 |
| Number Of Beneficiaries Age Greater 84 | 538 |
| Number Of Female Beneficiaries | 590 |
| Number Of Male Beneficiaries | 1734 |
| Number Of Non Hispanic White Beneficiaries | 2180 |
| Number Of Black or African American Beneficiaries | 59 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 34 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2273 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 51 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.3257 |