| National Provider Identifier [NPI]: | 1043376627 |
| Last Name Of The Provider | SHAPIRO |
| First Name Of The Provider | RALPH |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 15700 37TH AVE N |
| Street Address 2 Of The Provider | SUITE 110 |
| City Of The Provider | PLYMOUTH |
| Zip Code Of The Provider | 554463399 |
| State Code Of The Provider | MN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Allergy/Immunology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 40 |
| Number Of Services | 48737 |
| Number Of Medicare Beneficiaries | 85 |
| Total Submitted Charge Amount | 2301944.7 |
| Total Medicare Allowed Amount | 1147609.36 |
| Total Medicare Payment Amount | 875671.29 |
| Total Medicare Standardized Payment Amount | 872258.73 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 26 |
| Number Of Drug Services | 47132 |
| Number Of Medicare Beneficiaries With Drug Services | 56 |
| Total Drug Submitted ChargeAmount | 2103010.7 |
| Total Drug Medicare AllowedAmount | 1082610.36 |
| Total Drug Medicare PaymentAmount | 827049.63 |
| Total Drug Medicare Standardized Payment Amount | 827049.63 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 14 |
| Number Of Medical Services | 1605 |
| Number Of Medicare Beneficiaries With Medical Services | 85 |
| Total Medical Submitted Charge Amount | 198934 |
| Total Medical Medicare Allowed Amount | 64999 |
| Total Medical Medicare Payment Amount | 48621.66 |
| Total Medical Medicare Standardized Payment Amount | 45209.1 |
| Average Age Of Beneficiaries | 55 |
| Number Of Beneficiaries Age Less65 | 53 |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 64 |
| Number Of Male Beneficiaries | 21 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 52 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 33 |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | |
| Percent Of With Asthma | 21 |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | |
| Percent Of With Chronic Kidney Disease | |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 40 |
| Percent Of With Diabetes | 21 |
| Percent Of With Hyperlipidemia | 15 |
| Percent Of With Hypertension | 32 |
| Percent Of With Ischemic Heart Disease | 13 |
| Percent Of With Osteoporosis | 21 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 1.7155 |