| National Provider Identifier [NPI]: | 1790757375 |
| Last Name Of The Provider | MIKHAIL |
| First Name Of The Provider | EMAD |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2760 SOM CENTER RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | WILLOUGHBY HILLS |
| Zip Code Of The Provider | 44094 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Interventional Pain Management |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 75 |
| Number Of Services | 25448 |
| Number Of Medicare Beneficiaries | 599 |
| Total Submitted Charge Amount | 3106183 |
| Total Medicare Allowed Amount | 831700.96 |
| Total Medicare Payment Amount | 626732.53 |
| Total Medicare Standardized Payment Amount | 617866 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 17 |
| Number Of Drug Services | 17809 |
| Number Of Medicare Beneficiaries With Drug Services | 395 |
| Total Drug Submitted ChargeAmount | 194261 |
| Total Drug Medicare AllowedAmount | 76242.31 |
| Total Drug Medicare PaymentAmount | 57612.45 |
| Total Drug Medicare Standardized Payment Amount | 57612.45 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 58 |
| Number Of Medical Services | 7639 |
| Number Of Medicare Beneficiaries With Medical Services | 598 |
| Total Medical Submitted Charge Amount | 2911922 |
| Total Medical Medicare Allowed Amount | 755458.65 |
| Total Medical Medicare Payment Amount | 569120.08 |
| Total Medical Medicare Standardized Payment Amount | 560253.55 |
| Average Age Of Beneficiaries | 65 |
| Number Of Beneficiaries Age Less65 | 271 |
| Number Of Beneficiaries Age 65 to 74 | 148 |
| Number Of Beneficiaries Age 75 to 84 | 117 |
| Number Of Beneficiaries Age Greater 84 | 63 |
| Number Of Female Beneficiaries | 385 |
| Number Of Male Beneficiaries | 214 |
| Number Of Non Hispanic White Beneficiaries | 507 |
| Number Of Black or African American Beneficiaries | 71 |
| 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 | 350 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 249 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 47 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.6143 |