| National Provider Identifier [NPI]: | 1265617807 |
| Last Name Of The Provider | TAHER |
| First Name Of The Provider | MUFFADAL |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 39000 BOB HOPE DR DEPT OF |
| Street Address 2 Of The Provider | |
| City Of The Provider | RANCHO MIRAGE |
| Zip Code Of The Provider | 922703221 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 201 |
| Number Of Services | 57906 |
| Number Of Medicare Beneficiaries | 5015 |
| Total Submitted Charge Amount | 4757255.97 |
| Total Medicare Allowed Amount | 1335300.73 |
| Total Medicare Payment Amount | 1019878.24 |
| Total Medicare Standardized Payment Amount | 1002806.2 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 49608 |
| Number Of Medicare Beneficiaries With Drug Services | 682 |
| Total Drug Submitted ChargeAmount | 82327 |
| Total Drug Medicare AllowedAmount | 13493.28 |
| Total Drug Medicare PaymentAmount | 10548.65 |
| Total Drug Medicare Standardized Payment Amount | 10548.65 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 197 |
| Number Of Medical Services | 8298 |
| Number Of Medicare Beneficiaries With Medical Services | 5013 |
| Total Medical Submitted Charge Amount | 4674928.97 |
| Total Medical Medicare Allowed Amount | 1321807.45 |
| Total Medical Medicare Payment Amount | 1009329.59 |
| Total Medical Medicare Standardized Payment Amount | 992257.55 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 356 |
| Number Of Beneficiaries Age 65 to 74 | 1820 |
| Number Of Beneficiaries Age 75 to 84 | 1827 |
| Number Of Beneficiaries Age Greater 84 | 1012 |
| Number Of Female Beneficiaries | 2644 |
| Number Of Male Beneficiaries | 2371 |
| Number Of Non Hispanic White Beneficiaries | 4426 |
| Number Of Black or African American Beneficiaries | 73 |
| Number Of AsianPacific Islander Beneficiaries | 57 |
| Number Of Hispanic Beneficiaries | 402 |
| Number Of American Indian Alaska Native Beneficiaries | 14 |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4400 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 615 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6033 |