| National Provider Identifier [NPI]: | 1891748653 |
| Last Name Of The Provider | SUD |
| First Name Of The Provider | AVINASH |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1710 GUNBARRELL ROAD |
| Street Address 2 Of The Provider | CHATTANOOGA IMAGING |
| City Of The Provider | CHATTANOOGA |
| Zip Code Of The Provider | 37421 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 257 |
| Number Of Services | 16464 |
| Number Of Medicare Beneficiaries | 2774 |
| Total Submitted Charge Amount | 1764840.34 |
| Total Medicare Allowed Amount | 370037.11 |
| Total Medicare Payment Amount | 288641.57 |
| Total Medicare Standardized Payment Amount | 312573.66 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 11491 |
| Number Of Medicare Beneficiaries With Drug Services | 188 |
| Total Drug Submitted ChargeAmount | 18426.47 |
| Total Drug Medicare AllowedAmount | 5392.19 |
| Total Drug Medicare PaymentAmount | 4211.79 |
| Total Drug Medicare Standardized Payment Amount | 4211.79 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 249 |
| Number Of Medical Services | 4973 |
| Number Of Medicare Beneficiaries With Medical Services | 2772 |
| Total Medical Submitted Charge Amount | 1746413.87 |
| Total Medical Medicare Allowed Amount | 364644.92 |
| Total Medical Medicare Payment Amount | 284429.78 |
| Total Medical Medicare Standardized Payment Amount | 308361.87 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 705 |
| Number Of Beneficiaries Age 65 to 74 | 1078 |
| Number Of Beneficiaries Age 75 to 84 | 715 |
| Number Of Beneficiaries Age Greater 84 | 276 |
| Number Of Female Beneficiaries | 1813 |
| Number Of Male Beneficiaries | 961 |
| Number Of Non Hispanic White Beneficiaries | 2404 |
| Number Of Black or African American Beneficiaries | 319 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 21 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 18 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1900 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 874 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.5883 |