| National Provider Identifier [NPI]: | 1801848833 | 
| Last Name Of The Provider | RABOW | 
| First Name Of The Provider | MICHAEL | 
| Middle Initial Of The Provider | W | 
| Credentials Of The Provider | MD | 
| Gender Of The Provider | M | 
| Entity Type Of The Provider | I | 
| Street Address 1 Of The Provider | 1701 DIVISADERO ST | 
| Street Address 2 Of The Provider | |
| City Of The Provider | SAN FRANCISCO | 
| Zip Code Of The Provider | 941153011 | 
| State Code Of The Provider | CA | 
| Country Code Of The Provider | US | 
| Provider Type Of The Provider | Internal Medicine | 
| Medicare Participation Indicator | Y | 
| Number Of HCPCS | 12 | 
| Number Of Services | 479 | 
| Number Of Medicare Beneficiaries | 256 | 
| Total Submitted Charge Amount | 272409 | 
| Total Medicare Allowed Amount | 49846.22 | 
| Total Medicare Payment Amount | 35865.36 | 
| Total Medicare Standardized Payment Amount | 31641.98 | 
| 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 | 12 | 
| Number Of Medical Services | 479 | 
| Number Of Medicare Beneficiaries With Medical Services | 256 | 
| Total Medical Submitted Charge Amount | 272409 | 
| Total Medical Medicare Allowed Amount | 49846.22 | 
| Total Medical Medicare Payment Amount | 35865.36 | 
| Total Medical Medicare Standardized Payment Amount | 31641.98 | 
| Average Age Of Beneficiaries | 70 | 
| Number Of Beneficiaries Age Less65 | 53 | 
| Number Of Beneficiaries Age 65 to 74 | 116 | 
| Number Of Beneficiaries Age 75 to 84 | 62 | 
| Number Of Beneficiaries Age Greater 84 | 25 | 
| Number Of Female Beneficiaries | 135 | 
| Number Of Male Beneficiaries | 121 | 
| Number Of Non Hispanic White Beneficiaries | 142 | 
| Number Of Black or African American Beneficiaries | 31 | 
| Number Of AsianPacific Islander Beneficiaries | 43 | 
| Number Of Hispanic Beneficiaries | 25 | 
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 134 | 
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 122 | 
| Percent Of With Atrial Fibrillation | 11 | 
| Percent Of With Alzheimers Disease or Dementia | 9 | 
| Percent Of With Asthma | 10 | 
| Percent Of With Cancer | 32 | 
| Percent Of With Heart Failure | 14 | 
| Percent Of With Chronic Kidney Disease | 32 | 
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 | 
| Percent Of With Depression | 41 | 
| Percent Of With Diabetes | 31 | 
| Percent Of With Hyperlipidemia | 53 | 
| Percent Of With Hypertension | 65 | 
| Percent Of With Ischemic Heart Disease | 29 | 
| Percent Of With Osteoporosis | 14 | 
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 29 | 
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 | 
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 1.7339 |