| National Provider Identifier [NPI]: | 1083640700 |
| Last Name Of The Provider | KERAMATI |
| First Name Of The Provider | BIJAN |
| 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 | 7253 AMBASSADOR RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212442710 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 124 |
| Number Of Services | 34735 |
| Number Of Medicare Beneficiaries | 6186 |
| Total Submitted Charge Amount | 2153374.69 |
| Total Medicare Allowed Amount | 862842.24 |
| Total Medicare Payment Amount | 766796.29 |
| Total Medicare Standardized Payment Amount | 718469.37 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 24495 |
| Number Of Medicare Beneficiaries With Drug Services | 240 |
| Total Drug Submitted ChargeAmount | 5633.85 |
| Total Drug Medicare AllowedAmount | 4533.83 |
| Total Drug Medicare PaymentAmount | 3327.73 |
| Total Drug Medicare Standardized Payment Amount | 3327.73 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 123 |
| Number Of Medical Services | 10240 |
| Number Of Medicare Beneficiaries With Medical Services | 6186 |
| Total Medical Submitted Charge Amount | 2147740.84 |
| Total Medical Medicare Allowed Amount | 858308.41 |
| Total Medical Medicare Payment Amount | 763468.56 |
| Total Medical Medicare Standardized Payment Amount | 715141.64 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 650 |
| Number Of Beneficiaries Age 65 to 74 | 3132 |
| Number Of Beneficiaries Age 75 to 84 | 1801 |
| Number Of Beneficiaries Age Greater 84 | 603 |
| Number Of Female Beneficiaries | 5137 |
| Number Of Male Beneficiaries | 1049 |
| Number Of Non Hispanic White Beneficiaries | 4908 |
| Number Of Black or African American Beneficiaries | 1017 |
| Number Of AsianPacific Islander Beneficiaries | 116 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 81 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5451 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 735 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 28 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.064 |