| National Provider Identifier [NPI]: | 1396749826 |
| Last Name Of The Provider | FARRELL |
| First Name Of The Provider | TIMOTHY |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1625 N GEORGE MASON DR |
| Street Address 2 Of The Provider | STE 414 |
| City Of The Provider | ARLINGTON |
| Zip Code Of The Provider | 222053684 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 38 |
| Number Of Services | 6326 |
| Number Of Medicare Beneficiaries | 2389 |
| Total Submitted Charge Amount | 1213046 |
| Total Medicare Allowed Amount | 577389.34 |
| Total Medicare Payment Amount | 429193.73 |
| Total Medicare Standardized Payment Amount | 383888.9 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 597 |
| Number Of Medicare Beneficiaries With Drug Services | 149 |
| Total Drug Submitted ChargeAmount | 30966 |
| Total Drug Medicare AllowedAmount | 30717.79 |
| Total Drug Medicare PaymentAmount | 22765.78 |
| Total Drug Medicare Standardized Payment Amount | 22765.78 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 36 |
| Number Of Medical Services | 5729 |
| Number Of Medicare Beneficiaries With Medical Services | 2389 |
| Total Medical Submitted Charge Amount | 1182080 |
| Total Medical Medicare Allowed Amount | 546671.55 |
| Total Medical Medicare Payment Amount | 406427.95 |
| Total Medical Medicare Standardized Payment Amount | 361123.12 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 179 |
| Number Of Beneficiaries Age 65 to 74 | 798 |
| Number Of Beneficiaries Age 75 to 84 | 786 |
| Number Of Beneficiaries Age Greater 84 | 626 |
| Number Of Female Beneficiaries | 1271 |
| Number Of Male Beneficiaries | 1118 |
| Number Of Non Hispanic White Beneficiaries | 1777 |
| Number Of Black or African American Beneficiaries | 287 |
| Number Of AsianPacific Islander Beneficiaries | 127 |
| Number Of Hispanic Beneficiaries | 147 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2020 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 369 |
| Percent Of With Atrial Fibrillation | 31 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.6165 |