| National Provider Identifier [NPI]: | 1033102900 |
| Last Name Of The Provider | SOHN |
| First Name Of The Provider | CHARLES |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 30 E RIVER PARK PL W |
| Street Address 2 Of The Provider | SUITE #440 |
| City Of The Provider | FRESNO |
| Zip Code Of The Provider | 937201545 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 73 |
| Number Of Services | 15175 |
| Number Of Medicare Beneficiaries | 4310 |
| Total Submitted Charge Amount | 3142550 |
| Total Medicare Allowed Amount | 1391682.18 |
| Total Medicare Payment Amount | 1062648.51 |
| Total Medicare Standardized Payment Amount | 1023437.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 2266 |
| Number Of Medicare Beneficiaries With Drug Services | 546 |
| Total Drug Submitted ChargeAmount | 222518 |
| Total Drug Medicare AllowedAmount | 117304.45 |
| Total Drug Medicare PaymentAmount | 91621.42 |
| Total Drug Medicare Standardized Payment Amount | 91621.42 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 70 |
| Number Of Medical Services | 12909 |
| Number Of Medicare Beneficiaries With Medical Services | 4310 |
| Total Medical Submitted Charge Amount | 2920032 |
| Total Medical Medicare Allowed Amount | 1274377.73 |
| Total Medical Medicare Payment Amount | 971027.09 |
| Total Medical Medicare Standardized Payment Amount | 931815.97 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 671 |
| Number Of Beneficiaries Age 65 to 74 | 1733 |
| Number Of Beneficiaries Age 75 to 84 | 1257 |
| Number Of Beneficiaries Age Greater 84 | 649 |
| Number Of Female Beneficiaries | 2339 |
| Number Of Male Beneficiaries | 1971 |
| Number Of Non Hispanic White Beneficiaries | 2650 |
| Number Of Black or African American Beneficiaries | 206 |
| Number Of AsianPacific Islander Beneficiaries | 262 |
| Number Of Hispanic Beneficiaries | 1111 |
| Number Of American Indian Alaska Native Beneficiaries | 27 |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2603 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1707 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 17 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7266 |