| National Provider Identifier [NPI]: | 1780830554 |
| Last Name Of The Provider | KHIANEY |
| First Name Of The Provider | ANU |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8001 FORBES PL |
| Street Address 2 Of The Provider | STE 103 |
| City Of The Provider | SPRINGFIELD |
| Zip Code Of The Provider | 221512208 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 150 |
| Number Of Services | 6772 |
| Number Of Medicare Beneficiaries | 4163 |
| Total Submitted Charge Amount | 1193214 |
| Total Medicare Allowed Amount | 338039.64 |
| Total Medicare Payment Amount | 275430.65 |
| Total Medicare Standardized Payment Amount | 253032.58 |
| 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 | 150 |
| Number Of Medical Services | 6772 |
| Number Of Medicare Beneficiaries With Medical Services | 4163 |
| Total Medical Submitted Charge Amount | 1193214 |
| Total Medical Medicare Allowed Amount | 338039.64 |
| Total Medical Medicare Payment Amount | 275430.65 |
| Total Medical Medicare Standardized Payment Amount | 253032.58 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 399 |
| Number Of Beneficiaries Age 65 to 74 | 1859 |
| Number Of Beneficiaries Age 75 to 84 | 1207 |
| Number Of Beneficiaries Age Greater 84 | 698 |
| Number Of Female Beneficiaries | 2871 |
| Number Of Male Beneficiaries | 1292 |
| Number Of Non Hispanic White Beneficiaries | 2854 |
| Number Of Black or African American Beneficiaries | 772 |
| Number Of AsianPacific Islander Beneficiaries | 217 |
| Number Of Hispanic Beneficiaries | 225 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3482 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 681 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.39 |