| National Provider Identifier [NPI]: | 1831211416 |
| Last Name Of The Provider | GUILLORY |
| First Name Of The Provider | ERICK |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | P. A. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9301 WILSHIRE BLVD |
| Street Address 2 Of The Provider | SUITE 404 |
| City Of The Provider | BEVERLY HILLS |
| Zip Code Of The Provider | 902105424 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Physician Assistant |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 7 |
| Number Of Services | 7700 |
| Number Of Medicare Beneficiaries | 3312 |
| Total Submitted Charge Amount | 906180 |
| Total Medicare Allowed Amount | 367930.78 |
| Total Medicare Payment Amount | 285642.48 |
| Total Medicare Standardized Payment Amount | 324098.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 7 |
| Number Of Medical Services | 7700 |
| Number Of Medicare Beneficiaries With Medical Services | 3312 |
| Total Medical Submitted Charge Amount | 906180 |
| Total Medical Medicare Allowed Amount | 367930.78 |
| Total Medical Medicare Payment Amount | 285642.48 |
| Total Medical Medicare Standardized Payment Amount | 324098.84 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 484 |
| Number Of Beneficiaries Age 65 to 74 | 685 |
| Number Of Beneficiaries Age 75 to 84 | 959 |
| Number Of Beneficiaries Age Greater 84 | 1184 |
| Number Of Female Beneficiaries | 2050 |
| Number Of Male Beneficiaries | 1262 |
| Number Of Non Hispanic White Beneficiaries | 1558 |
| Number Of Black or African American Beneficiaries | 496 |
| Number Of AsianPacific Islander Beneficiaries | 391 |
| Number Of Hispanic Beneficiaries | 808 |
| Number Of American Indian Alaska Native Beneficiaries | 12 |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 208 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3104 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 75 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 6 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 53 |
| Percent Of With Diabetes | 57 |
| Percent Of With Hyperlipidemia | 45 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 41 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 3.066 |