| National Provider Identifier [NPI]: | 1811903867 |
| Last Name Of The Provider | GUPTA |
| First Name Of The Provider | AMIT |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1000 W MORENO ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | PENSACOLA |
| Zip Code Of The Provider | 325012316 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 388 |
| Number Of Services | 19812 |
| Number Of Medicare Beneficiaries | 9059 |
| Total Submitted Charge Amount | 2309954.56 |
| Total Medicare Allowed Amount | 745325.16 |
| Total Medicare Payment Amount | 561620.41 |
| Total Medicare Standardized Payment Amount | 563724.37 |
| 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 | 388 |
| Number Of Medical Services | 19812 |
| Number Of Medicare Beneficiaries With Medical Services | 9059 |
| Total Medical Submitted Charge Amount | 2309954.56 |
| Total Medical Medicare Allowed Amount | 745325.16 |
| Total Medical Medicare Payment Amount | 561620.41 |
| Total Medical Medicare Standardized Payment Amount | 563724.37 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1974 |
| Number Of Beneficiaries Age 65 to 74 | 3021 |
| Number Of Beneficiaries Age 75 to 84 | 2642 |
| Number Of Beneficiaries Age Greater 84 | 1422 |
| Number Of Female Beneficiaries | 5081 |
| Number Of Male Beneficiaries | 3978 |
| Number Of Non Hispanic White Beneficiaries | 7257 |
| Number Of Black or African American Beneficiaries | 1479 |
| Number Of AsianPacific Islander Beneficiaries | 84 |
| Number Of Hispanic Beneficiaries | 107 |
| Number Of American Indian Alaska Native Beneficiaries | 60 |
| Number Of Beneficiaries With Race Not Else where Classified | 72 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6401 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2658 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8219 |