| National Provider Identifier [NPI]: | 1407824246 | 
| Last Name Of The Provider | SHAPIRO | 
| First Name Of The Provider | MICHAEL | 
| Middle Initial Of The Provider | S | 
| Credentials Of The Provider | M.D. | 
| Gender Of The Provider | M | 
| Entity Type Of The Provider | I | 
| Street Address 1 Of The Provider | 10181 N 92ND ST | 
| Street Address 2 Of The Provider | |
| City Of The Provider | SCOTTSDALE | 
| Zip Code Of The Provider | 852584559 | 
| State Code Of The Provider | AZ | 
| Country Code Of The Provider | US | 
| Provider Type Of The Provider | Gastroenterology | 
| Medicare Participation Indicator | Y | 
| Number Of HCPCS | 45 | 
| Number Of Services | 1419 | 
| Number Of Medicare Beneficiaries | 494 | 
| Total Submitted Charge Amount | 623243.26 | 
| Total Medicare Allowed Amount | 211091.84 | 
| Total Medicare Payment Amount | 164010.44 | 
| Total Medicare Standardized Payment Amount | 166178.04 | 
| 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 | 45 | 
| Number Of Medical Services | 1419 | 
| Number Of Medicare Beneficiaries With Medical Services | 494 | 
| Total Medical Submitted Charge Amount | 623243.26 | 
| Total Medical Medicare Allowed Amount | 211091.84 | 
| Total Medical Medicare Payment Amount | 164010.44 | 
| Total Medical Medicare Standardized Payment Amount | 166178.04 | 
| Average Age Of Beneficiaries | 72 | 
| Number Of Beneficiaries Age Less65 | 26 | 
| Number Of Beneficiaries Age 65 to 74 | 303 | 
| Number Of Beneficiaries Age 75 to 84 | 140 | 
| Number Of Beneficiaries Age Greater 84 | 25 | 
| Number Of Female Beneficiaries | 277 | 
| Number Of Male Beneficiaries | 217 | 
| Number Of Non Hispanic White Beneficiaries | 475 | 
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 | 
| 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 | 10 | 
| Percent Of With Alzheimers Disease or Dementia | 3 | 
| Percent Of With Asthma | 9 | 
| Percent Of With Cancer | 14 | 
| Percent Of With Heart Failure | 9 | 
| Percent Of With Chronic Kidney Disease | 16 | 
| Percent Of With Chronic Obstructive Pulmonary Disease | 8 | 
| Percent Of With Depression | 13 | 
| Percent Of With Diabetes | 17 | 
| Percent Of With Hyperlipidemia | 58 | 
| Percent Of With Hypertension | 51 | 
| Percent Of With Ischemic Heart Disease | 28 | 
| Percent Of With Osteoporosis | 11 | 
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 | 
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | 4 | 
| Average HCC Risk Score Of Beneficiaries | 0.8935 |