| National Provider Identifier [NPI]: | 1548240286 |
| Last Name Of The Provider | KEDIA |
| First Name Of The Provider | KAILASH |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 19250 BAGLEY RD |
| Street Address 2 Of The Provider | SUITE 107 |
| City Of The Provider | MIDDLEBURG HTS |
| Zip Code Of The Provider | 441303314 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 113 |
| Number Of Services | 18854 |
| Number Of Medicare Beneficiaries | 1985 |
| Total Submitted Charge Amount | 2606982.5 |
| Total Medicare Allowed Amount | 1176545.28 |
| Total Medicare Payment Amount | 902180.94 |
| Total Medicare Standardized Payment Amount | 929951.35 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 4483 |
| Number Of Medicare Beneficiaries With Drug Services | 634 |
| Total Drug Submitted ChargeAmount | 754435 |
| Total Drug Medicare AllowedAmount | 402020.97 |
| Total Drug Medicare PaymentAmount | 311203.65 |
| Total Drug Medicare Standardized Payment Amount | 311203.65 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 104 |
| Number Of Medical Services | 14371 |
| Number Of Medicare Beneficiaries With Medical Services | 1985 |
| Total Medical Submitted Charge Amount | 1852547.5 |
| Total Medical Medicare Allowed Amount | 774524.31 |
| Total Medical Medicare Payment Amount | 590977.29 |
| Total Medical Medicare Standardized Payment Amount | 618747.7 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 228 |
| Number Of Beneficiaries Age 65 to 74 | 749 |
| Number Of Beneficiaries Age 75 to 84 | 697 |
| Number Of Beneficiaries Age Greater 84 | 311 |
| Number Of Female Beneficiaries | 461 |
| Number Of Male Beneficiaries | 1524 |
| Number Of Non Hispanic White Beneficiaries | 1265 |
| Number Of Black or African American Beneficiaries | 568 |
| Number Of AsianPacific Islander Beneficiaries | 39 |
| Number Of Hispanic Beneficiaries | 78 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1605 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 380 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 28 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.5148 |