| National Provider Identifier [NPI]: | 1720038680 |
| Last Name Of The Provider | ASFOUR |
| First Name Of The Provider | WAIL |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 10010 DONALD POWERS DRIVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | MUNSTER |
| Zip Code Of The Provider | 46321 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 159 |
| Number Of Services | 16779 |
| Number Of Medicare Beneficiaries | 3584 |
| Total Submitted Charge Amount | 5153231 |
| Total Medicare Allowed Amount | 1388943.93 |
| Total Medicare Payment Amount | 1051564.46 |
| Total Medicare Standardized Payment Amount | 1109845.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 739 |
| Number Of Medicare Beneficiaries With Drug Services | 195 |
| Total Drug Submitted ChargeAmount | 38851 |
| Total Drug Medicare AllowedAmount | 37008.14 |
| Total Drug Medicare PaymentAmount | 28964.24 |
| Total Drug Medicare Standardized Payment Amount | 28964.24 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 152 |
| Number Of Medical Services | 16040 |
| Number Of Medicare Beneficiaries With Medical Services | 3584 |
| Total Medical Submitted Charge Amount | 5114380 |
| Total Medical Medicare Allowed Amount | 1351935.79 |
| Total Medical Medicare Payment Amount | 1022600.22 |
| Total Medical Medicare Standardized Payment Amount | 1080881.28 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 469 |
| Number Of Beneficiaries Age 65 to 74 | 1196 |
| Number Of Beneficiaries Age 75 to 84 | 1174 |
| Number Of Beneficiaries Age Greater 84 | 745 |
| Number Of Female Beneficiaries | 1977 |
| Number Of Male Beneficiaries | 1607 |
| Number Of Non Hispanic White Beneficiaries | 2699 |
| Number Of Black or African American Beneficiaries | 503 |
| Number Of AsianPacific Islander Beneficiaries | 30 |
| Number Of Hispanic Beneficiaries | 321 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2942 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 642 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 50 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 66 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 2.0768 |