| National Provider Identifier [NPI]: | 1497847867 |
| Last Name Of The Provider | GUBIN |
| First Name Of The Provider | STEVEN |
| 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 | 8060 WOLF RIVER BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | MEMPHIS |
| Zip Code Of The Provider | 381381727 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 107 |
| Number Of Services | 29514 |
| Number Of Medicare Beneficiaries | 4588 |
| Total Submitted Charge Amount | 5617883 |
| Total Medicare Allowed Amount | 1049056.25 |
| Total Medicare Payment Amount | 791474.94 |
| Total Medicare Standardized Payment Amount | 845870.91 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 47 |
| Number Of Medicare Beneficiaries With Drug Services | 44 |
| Total Drug Submitted ChargeAmount | 1815 |
| Total Drug Medicare AllowedAmount | 951.15 |
| Total Drug Medicare PaymentAmount | 701.41 |
| Total Drug Medicare Standardized Payment Amount | 701.41 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 102 |
| Number Of Medical Services | 29467 |
| Number Of Medicare Beneficiaries With Medical Services | 4588 |
| Total Medical Submitted Charge Amount | 5616068 |
| Total Medical Medicare Allowed Amount | 1048105.1 |
| Total Medical Medicare Payment Amount | 790773.53 |
| Total Medical Medicare Standardized Payment Amount | 845169.5 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 441 |
| Number Of Beneficiaries Age 65 to 74 | 1785 |
| Number Of Beneficiaries Age 75 to 84 | 1617 |
| Number Of Beneficiaries Age Greater 84 | 745 |
| Number Of Female Beneficiaries | 2412 |
| Number Of Male Beneficiaries | 2176 |
| Number Of Non Hispanic White Beneficiaries | 3772 |
| Number Of Black or African American Beneficiaries | 728 |
| Number Of AsianPacific Islander Beneficiaries | 31 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3944 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 644 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6118 |