| National Provider Identifier [NPI]: | 1801892302 |
| Last Name Of The Provider | HAMBURG |
| First Name Of The Provider | SOLOMON |
| Middle Initial Of The Provider | I |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9090 WILSHIRE BLVD |
| Street Address 2 Of The Provider | STE 200 |
| City Of The Provider | BEVERLY HILLS |
| Zip Code Of The Provider | 902111850 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 113 |
| Number Of Services | 224522 |
| Number Of Medicare Beneficiaries | 4284 |
| Total Submitted Charge Amount | 4392032.59 |
| Total Medicare Allowed Amount | 1774507.54 |
| Total Medicare Payment Amount | 1535869.27 |
| Total Medicare Standardized Payment Amount | 1514098.55 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 19 |
| Number Of Drug Services | 153832 |
| Number Of Medicare Beneficiaries With Drug Services | 138 |
| Total Drug Submitted ChargeAmount | 1239812.59 |
| Total Drug Medicare AllowedAmount | 686018.17 |
| Total Drug Medicare PaymentAmount | 537590.53 |
| Total Drug Medicare Standardized Payment Amount | 537590.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 94 |
| Number Of Medical Services | 70690 |
| Number Of Medicare Beneficiaries With Medical Services | 4284 |
| Total Medical Submitted Charge Amount | 3152220 |
| Total Medical Medicare Allowed Amount | 1088489.37 |
| Total Medical Medicare Payment Amount | 998278.74 |
| Total Medical Medicare Standardized Payment Amount | 976508.02 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 225 |
| Number Of Beneficiaries Age 65 to 74 | 1755 |
| Number Of Beneficiaries Age 75 to 84 | 1463 |
| Number Of Beneficiaries Age Greater 84 | 841 |
| Number Of Female Beneficiaries | 2678 |
| Number Of Male Beneficiaries | 1606 |
| Number Of Non Hispanic White Beneficiaries | 3569 |
| Number Of Black or African American Beneficiaries | 266 |
| Number Of AsianPacific Islander Beneficiaries | 198 |
| Number Of Hispanic Beneficiaries | 140 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3594 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 690 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 45 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 61 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.7654 |