| National Provider Identifier [NPI]: | 1609014760 |
| Last Name Of The Provider | SOSCIA |
| First Name Of The Provider | JUSTINE |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | NP, MS |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9033 WILSHIRE BLVD |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | BEVERLY HILLS |
| Zip Code Of The Provider | 902111837 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Nurse Practitioner |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 23 |
| Number Of Services | 1181 |
| Number Of Medicare Beneficiaries | 16 |
| Total Submitted Charge Amount | 76427 |
| Total Medicare Allowed Amount | 25065.58 |
| Total Medicare Payment Amount | 19265.28 |
| Total Medicare Standardized Payment Amount | 19450.12 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 1101 |
| Number Of Medicare Beneficiaries With Drug Services | 11 |
| Total Drug Submitted ChargeAmount | 64137 |
| Total Drug Medicare AllowedAmount | 20889.65 |
| Total Drug Medicare PaymentAmount | 16340.39 |
| Total Drug Medicare Standardized Payment Amount | 16340.39 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 15 |
| Number Of Medical Services | 80 |
| Number Of Medicare Beneficiaries With Medical Services | 16 |
| Total Medical Submitted Charge Amount | 12290 |
| Total Medical Medicare Allowed Amount | 4175.93 |
| Total Medical Medicare Payment Amount | 2924.89 |
| Total Medical Medicare Standardized Payment Amount | 3109.73 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 0 |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | 0 |
| Number Of Female Beneficiaries | 0 |
| Number Of Male Beneficiaries | 16 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | |
| Percent Of With Asthma | |
| Percent Of With Cancer | 75 |
| Percent Of With Heart Failure | |
| Percent Of With Chronic Kidney Disease | |
| Percent Of With Chronic Obstructive Pulmonary Disease | |
| Percent Of With Depression | |
| Percent Of With Diabetes | |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | |
| Percent Of With Osteoporosis | 0 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | |
| Percent Of With Schizophrenia Other PsychoticDisorders | 0 |
| Percent Of With Stroke | 0 |
| Average HCC Risk Score Of Beneficiaries | 3.0143 |