| National Provider Identifier [NPI]: | 1700896115 |
| Last Name Of The Provider | MUMMA |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1540 S TAMIAMI TRL |
| Street Address 2 Of The Provider | SUITE 401 |
| City Of The Provider | SARASOTA |
| Zip Code Of The Provider | 342392940 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 114 |
| Number Of Services | 9813 |
| Number Of Medicare Beneficiaries | 3167 |
| Total Submitted Charge Amount | 2176837.46 |
| Total Medicare Allowed Amount | 995833.65 |
| Total Medicare Payment Amount | 753324.95 |
| Total Medicare Standardized Payment Amount | 757824.12 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 254 |
| Number Of Medicare Beneficiaries With Drug Services | 61 |
| Total Drug Submitted ChargeAmount | 18310 |
| Total Drug Medicare AllowedAmount | 12932.19 |
| Total Drug Medicare PaymentAmount | 10138.78 |
| Total Drug Medicare Standardized Payment Amount | 10138.78 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 112 |
| Number Of Medical Services | 9559 |
| Number Of Medicare Beneficiaries With Medical Services | 3167 |
| Total Medical Submitted Charge Amount | 2158527.46 |
| Total Medical Medicare Allowed Amount | 982901.46 |
| Total Medical Medicare Payment Amount | 743186.17 |
| Total Medical Medicare Standardized Payment Amount | 747685.34 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 92 |
| Number Of Beneficiaries Age 65 to 74 | 1077 |
| Number Of Beneficiaries Age 75 to 84 | 1292 |
| Number Of Beneficiaries Age Greater 84 | 706 |
| Number Of Female Beneficiaries | 1356 |
| Number Of Male Beneficiaries | 1811 |
| Number Of Non Hispanic White Beneficiaries | 3076 |
| Number Of Black or African American Beneficiaries | 29 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 31 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3006 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 161 |
| Percent Of With Atrial Fibrillation | 38 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5197 |