| National Provider Identifier [NPI]: | 1457349979 |
| Last Name Of The Provider | CHAWLA |
| First Name Of The Provider | PRASHANT |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 30 W ERIE ST |
| Street Address 2 Of The Provider | #701 |
| City Of The Provider | CHICAGO |
| Zip Code Of The Provider | 606542827 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 196 |
| Number Of Services | 12896 |
| Number Of Medicare Beneficiaries | 4882 |
| Total Submitted Charge Amount | 1239477.13 |
| Total Medicare Allowed Amount | 311402.15 |
| Total Medicare Payment Amount | 251151.5 |
| Total Medicare Standardized Payment Amount | 238229.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 3496 |
| Number Of Medicare Beneficiaries With Drug Services | 60 |
| Total Drug Submitted ChargeAmount | 8656.5 |
| Total Drug Medicare AllowedAmount | 1832.92 |
| Total Drug Medicare PaymentAmount | 1411.53 |
| Total Drug Medicare Standardized Payment Amount | 1411.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 193 |
| Number Of Medical Services | 9400 |
| Number Of Medicare Beneficiaries With Medical Services | 4882 |
| Total Medical Submitted Charge Amount | 1230820.63 |
| Total Medical Medicare Allowed Amount | 309569.23 |
| Total Medical Medicare Payment Amount | 249739.97 |
| Total Medical Medicare Standardized Payment Amount | 236817.72 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 318 |
| Number Of Beneficiaries Age 65 to 74 | 1808 |
| Number Of Beneficiaries Age 75 to 84 | 1673 |
| Number Of Beneficiaries Age Greater 84 | 1083 |
| Number Of Female Beneficiaries | 3547 |
| Number Of Male Beneficiaries | 1335 |
| Number Of Non Hispanic White Beneficiaries | 3835 |
| Number Of Black or African American Beneficiaries | 176 |
| Number Of AsianPacific Islander Beneficiaries | 359 |
| Number Of Hispanic Beneficiaries | 383 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3374 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1508 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7189 |