| National Provider Identifier [NPI]: | 1861620601 |
| Last Name Of The Provider | ABDULLAH |
| First Name Of The Provider | ASIF |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4662 CROSSTICK CT |
| Street Address 2 Of The Provider | |
| City Of The Provider | SYLVANIA |
| Zip Code Of The Provider | 435602290 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 153 |
| Number Of Services | 7359 |
| Number Of Medicare Beneficiaries | 3467 |
| Total Submitted Charge Amount | 553507.6 |
| Total Medicare Allowed Amount | 248161.93 |
| Total Medicare Payment Amount | 189294.78 |
| Total Medicare Standardized Payment Amount | 196674.15 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2245 |
| Number Of Medicare Beneficiaries With Drug Services | 43 |
| Total Drug Submitted ChargeAmount | 3895.6 |
| Total Drug Medicare AllowedAmount | 1283.73 |
| Total Drug Medicare PaymentAmount | 989.58 |
| Total Drug Medicare Standardized Payment Amount | 989.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 151 |
| Number Of Medical Services | 5114 |
| Number Of Medicare Beneficiaries With Medical Services | 3467 |
| Total Medical Submitted Charge Amount | 549612 |
| Total Medical Medicare Allowed Amount | 246878.2 |
| Total Medical Medicare Payment Amount | 188305.2 |
| Total Medical Medicare Standardized Payment Amount | 195684.57 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 1057 |
| Number Of Beneficiaries Age 65 to 74 | 1104 |
| Number Of Beneficiaries Age 75 to 84 | 797 |
| Number Of Beneficiaries Age Greater 84 | 509 |
| Number Of Female Beneficiaries | 1910 |
| Number Of Male Beneficiaries | 1557 |
| Number Of Non Hispanic White Beneficiaries | 2717 |
| Number Of Black or African American Beneficiaries | 553 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 143 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 35 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2154 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1313 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 1.8765 |