| National Provider Identifier [NPI]: | 1952354078 |
| Last Name Of The Provider | WANG |
| First Name Of The Provider | SHAOSHAN |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 200 S ENOTA DR NE |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | GAINESVILLE |
| Zip Code Of The Provider | 305013466 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 72 |
| Number Of Services | 7396 |
| Number Of Medicare Beneficiaries | 2644 |
| Total Submitted Charge Amount | 1314232 |
| Total Medicare Allowed Amount | 494355.56 |
| Total Medicare Payment Amount | 364527.95 |
| Total Medicare Standardized Payment Amount | 381436.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 246 |
| Number Of Medicare Beneficiaries With Drug Services | 66 |
| Total Drug Submitted ChargeAmount | 32552 |
| Total Drug Medicare AllowedAmount | 13116.18 |
| Total Drug Medicare PaymentAmount | 10158.2 |
| Total Drug Medicare Standardized Payment Amount | 10158.2 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 70 |
| Number Of Medical Services | 7150 |
| Number Of Medicare Beneficiaries With Medical Services | 2644 |
| Total Medical Submitted Charge Amount | 1281680 |
| Total Medical Medicare Allowed Amount | 481239.38 |
| Total Medical Medicare Payment Amount | 354369.75 |
| Total Medical Medicare Standardized Payment Amount | 371278.44 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 291 |
| Number Of Beneficiaries Age 65 to 74 | 1066 |
| Number Of Beneficiaries Age 75 to 84 | 926 |
| Number Of Beneficiaries Age Greater 84 | 361 |
| Number Of Female Beneficiaries | 1355 |
| Number Of Male Beneficiaries | 1289 |
| Number Of Non Hispanic White Beneficiaries | 2450 |
| Number Of Black or African American Beneficiaries | 76 |
| Number Of AsianPacific Islander Beneficiaries | 44 |
| Number Of Hispanic Beneficiaries | 46 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2077 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 567 |
| Percent Of With Atrial Fibrillation | 31 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6652 |