| National Provider Identifier [NPI]: | 1649230988 |
| Last Name Of The Provider | KHAN |
| First Name Of The Provider | MOHAMED |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2102 CIVIC CENTER DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | REDDING |
| Zip Code Of The Provider | 960012704 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 140 |
| Number Of Services | 30769 |
| Number Of Medicare Beneficiaries | 4767 |
| Total Submitted Charge Amount | 7680538.39 |
| Total Medicare Allowed Amount | 3518330.46 |
| Total Medicare Payment Amount | 2649836.67 |
| Total Medicare Standardized Payment Amount | 2555275.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 3668 |
| Number Of Medicare Beneficiaries With Drug Services | 911 |
| Total Drug Submitted ChargeAmount | 458500 |
| Total Drug Medicare AllowedAmount | 194228.97 |
| Total Drug Medicare PaymentAmount | 150131.04 |
| Total Drug Medicare Standardized Payment Amount | 150131.04 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 139 |
| Number Of Medical Services | 27101 |
| Number Of Medicare Beneficiaries With Medical Services | 4767 |
| Total Medical Submitted Charge Amount | 7222038.39 |
| Total Medical Medicare Allowed Amount | 3324101.49 |
| Total Medical Medicare Payment Amount | 2499705.63 |
| Total Medical Medicare Standardized Payment Amount | 2405144.24 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 646 |
| Number Of Beneficiaries Age 65 to 74 | 1985 |
| Number Of Beneficiaries Age 75 to 84 | 1460 |
| Number Of Beneficiaries Age Greater 84 | 676 |
| Number Of Female Beneficiaries | 2531 |
| Number Of Male Beneficiaries | 2236 |
| Number Of Non Hispanic White Beneficiaries | 4374 |
| Number Of Black or African American Beneficiaries | 35 |
| Number Of AsianPacific Islander Beneficiaries | 61 |
| Number Of Hispanic Beneficiaries | 157 |
| Number Of American Indian Alaska Native Beneficiaries | 101 |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3618 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1149 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.3764 |