| National Provider Identifier [NPI]: | 1477583227 |
| Last Name Of The Provider | RAO |
| First Name Of The Provider | VIKRAM |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2370 S LINDEN RD |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | FLINT |
| Zip Code Of The Provider | 485325424 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 192 |
| Number Of Services | 6958 |
| Number Of Medicare Beneficiaries | 2318 |
| Total Submitted Charge Amount | 744700 |
| Total Medicare Allowed Amount | 237079.3 |
| Total Medicare Payment Amount | 183074.89 |
| Total Medicare Standardized Payment Amount | 176591.65 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 406 |
| Number Of Medicare Beneficiaries With Drug Services | 37 |
| Total Drug Submitted ChargeAmount | 5877 |
| Total Drug Medicare AllowedAmount | 600.47 |
| Total Drug Medicare PaymentAmount | 460.68 |
| Total Drug Medicare Standardized Payment Amount | 460.68 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 187 |
| Number Of Medical Services | 6552 |
| Number Of Medicare Beneficiaries With Medical Services | 2318 |
| Total Medical Submitted Charge Amount | 738823 |
| Total Medical Medicare Allowed Amount | 236478.83 |
| Total Medical Medicare Payment Amount | 182614.21 |
| Total Medical Medicare Standardized Payment Amount | 176130.97 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 713 |
| Number Of Beneficiaries Age 65 to 74 | 791 |
| Number Of Beneficiaries Age 75 to 84 | 558 |
| Number Of Beneficiaries Age Greater 84 | 256 |
| Number Of Female Beneficiaries | 1433 |
| Number Of Male Beneficiaries | 885 |
| Number Of Non Hispanic White Beneficiaries | 1854 |
| Number Of Black or African American Beneficiaries | 341 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 79 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1550 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 768 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2701 |