| National Provider Identifier [NPI]: | 1821006685 | 
| Last Name Of The Provider | RUBIN | 
| First Name Of The Provider | ARTHUR | 
| 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 | 3833 N FAIRFAX DR | 
| Street Address 2 Of The Provider | SUITE 200 | 
| City Of The Provider | ARLINGTON | 
| Zip Code Of The Provider | 22203 | 
| State Code Of The Provider | VA | 
| Country Code Of The Provider | US | 
| Provider Type Of The Provider | Internal Medicine | 
| Medicare Participation Indicator | Y | 
| Number Of HCPCS | 42 | 
| Number Of Services | 867 | 
| Number Of Medicare Beneficiaries | 98 | 
| Total Submitted Charge Amount | 52719 | 
| Total Medicare Allowed Amount | 33605.59 | 
| Total Medicare Payment Amount | 26471.26 | 
| Total Medicare Standardized Payment Amount | 24341.27 | 
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 | 
| Number Of Drug Services | 40 | 
| Number Of Medicare Beneficiaries With Drug Services | 31 | 
| Total Drug Submitted ChargeAmount | 4245 | 
| Total Drug Medicare AllowedAmount | 3507.27 | 
| Total Drug Medicare PaymentAmount | 3437.05 | 
| Total Drug Medicare Standardized Payment Amount | 3437.05 | 
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 39 | 
| Number Of Medical Services | 827 | 
| Number Of Medicare Beneficiaries With Medical Services | 98 | 
| Total Medical Submitted Charge Amount | 48474 | 
| Total Medical Medicare Allowed Amount | 30098.32 | 
| Total Medical Medicare Payment Amount | 23034.21 | 
| Total Medical Medicare Standardized Payment Amount | 20904.22 | 
| Average Age Of Beneficiaries | 76 | 
| Number Of Beneficiaries Age Less65 | |
| Number Of Beneficiaries Age 65 to 74 | 43 | 
| Number Of Beneficiaries Age 75 to 84 | 36 | 
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 34 | 
| Number Of Male Beneficiaries | 64 | 
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | |
| 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 | |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | |
| Percent Of With Asthma | |
| Percent Of With Cancer | 13 | 
| Percent Of With Heart Failure | 12 | 
| Percent Of With Chronic Kidney Disease | 18 | 
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 | 
| Percent Of With Depression | |
| Percent Of With Diabetes | 28 | 
| Percent Of With Hyperlipidemia | 35 | 
| Percent Of With Hypertension | 57 | 
| Percent Of With Ischemic Heart Disease | 29 | 
| Percent Of With Osteoporosis | |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 22 | 
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | 0 | 
| Average HCC Risk Score Of Beneficiaries | 0.8244 |