| National Provider Identifier [NPI]: | 1710904370 |
| Last Name Of The Provider | MATHUR |
| First Name Of The Provider | CHAND |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8305 KNIGHT RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | HOUSTON |
| Zip Code Of The Provider | 770543905 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 162 |
| Number Of Services | 26102 |
| Number Of Medicare Beneficiaries | 8526 |
| Total Submitted Charge Amount | 3260763.95 |
| Total Medicare Allowed Amount | 603595.61 |
| Total Medicare Payment Amount | 468128.36 |
| Total Medicare Standardized Payment Amount | 475392.55 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 7055 |
| Number Of Medicare Beneficiaries With Drug Services | 76 |
| Total Drug Submitted ChargeAmount | 15230 |
| Total Drug Medicare AllowedAmount | 1549.36 |
| Total Drug Medicare PaymentAmount | 1214.69 |
| Total Drug Medicare Standardized Payment Amount | 1214.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 160 |
| Number Of Medical Services | 19047 |
| Number Of Medicare Beneficiaries With Medical Services | 8526 |
| Total Medical Submitted Charge Amount | 3245533.95 |
| Total Medical Medicare Allowed Amount | 602046.25 |
| Total Medical Medicare Payment Amount | 466913.67 |
| Total Medical Medicare Standardized Payment Amount | 474177.86 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 1724 |
| Number Of Beneficiaries Age 65 to 74 | 2225 |
| Number Of Beneficiaries Age 75 to 84 | 2452 |
| Number Of Beneficiaries Age Greater 84 | 2125 |
| Number Of Female Beneficiaries | 4895 |
| Number Of Male Beneficiaries | 3631 |
| Number Of Non Hispanic White Beneficiaries | 5150 |
| Number Of Black or African American Beneficiaries | 2127 |
| Number Of AsianPacific Islander Beneficiaries | 274 |
| Number Of Hispanic Beneficiaries | 907 |
| Number Of American Indian Alaska Native Beneficiaries | 16 |
| Number Of Beneficiaries With Race Not Else where Classified | 52 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4806 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3720 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 47 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 65 |
| Percent Of With Chronic Kidney Disease | 62 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 43 |
| Percent Of With Depression | 51 |
| Percent Of With Diabetes | 59 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 18 |
| Percent Of With Stroke | 22 |
| Average HCC Risk Score Of Beneficiaries | 3.1199 |