| National Provider Identifier [NPI]: | 1598758468 |
| Last Name Of The Provider | BORNO |
| First Name Of The Provider | SAM |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 30 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 | 66 |
| Number Of Services | 20713 |
| Number Of Medicare Beneficiaries | 2919 |
| Total Submitted Charge Amount | 4934345 |
| Total Medicare Allowed Amount | 2589709.06 |
| Total Medicare Payment Amount | 1960226.58 |
| Total Medicare Standardized Payment Amount | 1884419.13 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 5269 |
| Number Of Medicare Beneficiaries With Drug Services | 1299 |
| Total Drug Submitted ChargeAmount | 521380 |
| Total Drug Medicare AllowedAmount | 275496.86 |
| Total Drug Medicare PaymentAmount | 215014.84 |
| Total Drug Medicare Standardized Payment Amount | 215014.84 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 64 |
| Number Of Medical Services | 15444 |
| Number Of Medicare Beneficiaries With Medical Services | 2918 |
| Total Medical Submitted Charge Amount | 4412965 |
| Total Medical Medicare Allowed Amount | 2314212.2 |
| Total Medical Medicare Payment Amount | 1745211.74 |
| Total Medical Medicare Standardized Payment Amount | 1669404.29 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 164 |
| Number Of Beneficiaries Age 65 to 74 | 1316 |
| Number Of Beneficiaries Age 75 to 84 | 1003 |
| Number Of Beneficiaries Age Greater 84 | 436 |
| Number Of Female Beneficiaries | 1594 |
| Number Of Male Beneficiaries | 1325 |
| Number Of Non Hispanic White Beneficiaries | 2214 |
| Number Of Black or African American Beneficiaries | 67 |
| Number Of AsianPacific Islander Beneficiaries | 98 |
| Number Of Hispanic Beneficiaries | 485 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 44 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2413 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 506 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 12 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1372 |