| National Provider Identifier [NPI]: | 1679564587 |
| Last Name Of The Provider | JAAFAR |
| First Name Of The Provider | SALEH |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1051 HWY 90E |
| Street Address 2 Of The Provider | |
| City Of The Provider | CASTROVILLE |
| Zip Code Of The Provider | 78009 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 163 |
| Number Of Services | 16038 |
| Number Of Medicare Beneficiaries | 2333 |
| Total Submitted Charge Amount | 1580755.4 |
| Total Medicare Allowed Amount | 736594.95 |
| Total Medicare Payment Amount | 519440.58 |
| Total Medicare Standardized Payment Amount | 550139.24 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 20 |
| Number Of Drug Services | 2837 |
| Number Of Medicare Beneficiaries With Drug Services | 878 |
| Total Drug Submitted ChargeAmount | 65103.4 |
| Total Drug Medicare AllowedAmount | 25935.84 |
| Total Drug Medicare PaymentAmount | 24512.48 |
| Total Drug Medicare Standardized Payment Amount | 24512.48 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 143 |
| Number Of Medical Services | 13201 |
| Number Of Medicare Beneficiaries With Medical Services | 2333 |
| Total Medical Submitted Charge Amount | 1515652 |
| Total Medical Medicare Allowed Amount | 710659.11 |
| Total Medical Medicare Payment Amount | 494928.1 |
| Total Medical Medicare Standardized Payment Amount | 525626.76 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 324 |
| Number Of Beneficiaries Age 65 to 74 | 975 |
| Number Of Beneficiaries Age 75 to 84 | 698 |
| Number Of Beneficiaries Age Greater 84 | 336 |
| Number Of Female Beneficiaries | 1333 |
| Number Of Male Beneficiaries | 1000 |
| Number Of Non Hispanic White Beneficiaries | 1907 |
| Number Of Black or African American Beneficiaries | 23 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 369 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1857 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 476 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2253 |