| National Provider Identifier [NPI]: | 1730130089 |
| Last Name Of The Provider | ABBASS |
| First Name Of The Provider | JULIA |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3999 RICHMOND RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BEACHWOOD |
| Zip Code Of The Provider | 441226046 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 154 |
| Number Of Services | 20171 |
| Number Of Medicare Beneficiaries | 4709 |
| Total Submitted Charge Amount | 1545452 |
| Total Medicare Allowed Amount | 506767.94 |
| Total Medicare Payment Amount | 408151.9 |
| Total Medicare Standardized Payment Amount | 438444.35 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 11933 |
| Number Of Medicare Beneficiaries With Drug Services | 203 |
| Total Drug Submitted ChargeAmount | 26712 |
| Total Drug Medicare AllowedAmount | 5422.57 |
| Total Drug Medicare PaymentAmount | 4071.56 |
| Total Drug Medicare Standardized Payment Amount | 4071.56 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 151 |
| Number Of Medical Services | 8238 |
| Number Of Medicare Beneficiaries With Medical Services | 4709 |
| Total Medical Submitted Charge Amount | 1518740 |
| Total Medical Medicare Allowed Amount | 501345.37 |
| Total Medical Medicare Payment Amount | 404080.34 |
| Total Medical Medicare Standardized Payment Amount | 434372.79 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 435 |
| Number Of Beneficiaries Age 65 to 74 | 1904 |
| Number Of Beneficiaries Age 75 to 84 | 1580 |
| Number Of Beneficiaries Age Greater 84 | 790 |
| Number Of Female Beneficiaries | 3290 |
| Number Of Male Beneficiaries | 1419 |
| Number Of Non Hispanic White Beneficiaries | 3852 |
| Number Of Black or African American Beneficiaries | 695 |
| Number Of AsianPacific Islander Beneficiaries | 29 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 104 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4161 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 548 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 24 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.1303 |