| National Provider Identifier [NPI]: | 1427220235 |
| Last Name Of The Provider | FATADE |
| First Name Of The Provider | FOLAYAN |
| 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 | 684 POOLE ROAD |
| Street Address 2 Of The Provider | SUITE C |
| City Of The Provider | WESTMINSTER |
| Zip Code Of The Provider | 211576172 |
| 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 | 155 |
| Number Of Services | 3987 |
| Number Of Medicare Beneficiaries | 2343 |
| Total Submitted Charge Amount | 665598.13 |
| Total Medicare Allowed Amount | 182445.83 |
| Total Medicare Payment Amount | 137571.4 |
| Total Medicare Standardized Payment Amount | 130992.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 44 |
| Number Of Medicare Beneficiaries With Drug Services | 43 |
| Total Drug Submitted ChargeAmount | 1661 |
| Total Drug Medicare AllowedAmount | 47.86 |
| Total Drug Medicare PaymentAmount | 37.48 |
| Total Drug Medicare Standardized Payment Amount | 37.48 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 154 |
| Number Of Medical Services | 3943 |
| Number Of Medicare Beneficiaries With Medical Services | 2343 |
| Total Medical Submitted Charge Amount | 663937.13 |
| Total Medical Medicare Allowed Amount | 182397.97 |
| Total Medical Medicare Payment Amount | 137533.92 |
| Total Medical Medicare Standardized Payment Amount | 130954.8 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 498 |
| Number Of Beneficiaries Age 65 to 74 | 693 |
| Number Of Beneficiaries Age 75 to 84 | 657 |
| Number Of Beneficiaries Age Greater 84 | 495 |
| Number Of Female Beneficiaries | 1411 |
| Number Of Male Beneficiaries | 932 |
| Number Of Non Hispanic White Beneficiaries | 1292 |
| Number Of Black or African American Beneficiaries | 987 |
| Number Of AsianPacific Islander Beneficiaries | 28 |
| Number Of Hispanic Beneficiaries | 18 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1635 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 708 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 50 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.2236 |