| National Provider Identifier [NPI]: | 1801970744 |
| Last Name Of The Provider | VAZIRANI |
| First Name Of The Provider | RAJENDRA |
| Middle Initial Of The Provider | M |
| 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 |
| Street Address 2 Of The Provider | EISENHOWER IMAGING CENTER |
| 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 | 214 |
| Number Of Services | 32123 |
| Number Of Medicare Beneficiaries | 2504 |
| Total Submitted Charge Amount | 2578917.91 |
| Total Medicare Allowed Amount | 648260.75 |
| Total Medicare Payment Amount | 472941.59 |
| Total Medicare Standardized Payment Amount | 463695.56 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 27925 |
| Number Of Medicare Beneficiaries With Drug Services | 394 |
| Total Drug Submitted ChargeAmount | 44401.9 |
| Total Drug Medicare AllowedAmount | 7705.03 |
| Total Drug Medicare PaymentAmount | 6009.82 |
| Total Drug Medicare Standardized Payment Amount | 6009.82 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 209 |
| Number Of Medical Services | 4198 |
| Number Of Medicare Beneficiaries With Medical Services | 2504 |
| Total Medical Submitted Charge Amount | 2534516.01 |
| Total Medical Medicare Allowed Amount | 640555.72 |
| Total Medical Medicare Payment Amount | 466931.77 |
| Total Medical Medicare Standardized Payment Amount | 457685.74 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 279 |
| Number Of Beneficiaries Age 65 to 74 | 935 |
| Number Of Beneficiaries Age 75 to 84 | 891 |
| Number Of Beneficiaries Age Greater 84 | 399 |
| Number Of Female Beneficiaries | 1350 |
| Number Of Male Beneficiaries | 1154 |
| Number Of Non Hispanic White Beneficiaries | 2034 |
| Number Of Black or African American Beneficiaries | 146 |
| Number Of AsianPacific Islander Beneficiaries | 34 |
| Number Of Hispanic Beneficiaries | 258 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2037 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 467 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 23 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7884 |