| National Provider Identifier [NPI]: | 1376745828 |
| Last Name Of The Provider | SHIEH |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | Y |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 99 ROUTE 37 W |
| Street Address 2 Of The Provider | |
| City Of The Provider | TOMS RIVER |
| Zip Code Of The Provider | 087556423 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 240 |
| Number Of Services | 24553 |
| Number Of Medicare Beneficiaries | 6272 |
| Total Submitted Charge Amount | 2974305.01 |
| Total Medicare Allowed Amount | 733580.38 |
| Total Medicare Payment Amount | 571500.6 |
| Total Medicare Standardized Payment Amount | 545092 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 14835 |
| Number Of Medicare Beneficiaries With Drug Services | 211 |
| Total Drug Submitted ChargeAmount | 28550 |
| Total Drug Medicare AllowedAmount | 5257.12 |
| Total Drug Medicare PaymentAmount | 4047.42 |
| Total Drug Medicare Standardized Payment Amount | 4047.42 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 236 |
| Number Of Medical Services | 9718 |
| Number Of Medicare Beneficiaries With Medical Services | 6272 |
| Total Medical Submitted Charge Amount | 2945755.01 |
| Total Medical Medicare Allowed Amount | 728323.26 |
| Total Medical Medicare Payment Amount | 567453.18 |
| Total Medical Medicare Standardized Payment Amount | 541044.58 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 675 |
| Number Of Beneficiaries Age 65 to 74 | 2218 |
| Number Of Beneficiaries Age 75 to 84 | 2005 |
| Number Of Beneficiaries Age Greater 84 | 1374 |
| Number Of Female Beneficiaries | 3872 |
| Number Of Male Beneficiaries | 2400 |
| Number Of Non Hispanic White Beneficiaries | 5786 |
| Number Of Black or African American Beneficiaries | 172 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 194 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 69 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5403 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 869 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.8285 |