| National Provider Identifier [NPI]: | 1518169879 |
| Last Name Of The Provider | FAROOQUI |
| First Name Of The Provider | SALEEM |
| Middle Initial Of The Provider | O |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 601 N CAROLINE ST |
| Street Address 2 Of The Provider | ROOM 3235A |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212870006 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 149 |
| Number Of Services | 6525 |
| Number Of Medicare Beneficiaries | 3703 |
| Total Submitted Charge Amount | 965356.74 |
| Total Medicare Allowed Amount | 368628.93 |
| Total Medicare Payment Amount | 302831.02 |
| Total Medicare Standardized Payment Amount | 284842.06 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 63 |
| Number Of Medicare Beneficiaries With Drug Services | 62 |
| Total Drug Submitted ChargeAmount | 2378.25 |
| Total Drug Medicare AllowedAmount | 68.34 |
| Total Drug Medicare PaymentAmount | 53.55 |
| Total Drug Medicare Standardized Payment Amount | 53.55 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 148 |
| Number Of Medical Services | 6462 |
| Number Of Medicare Beneficiaries With Medical Services | 3703 |
| Total Medical Submitted Charge Amount | 962978.49 |
| Total Medical Medicare Allowed Amount | 368560.59 |
| Total Medical Medicare Payment Amount | 302777.47 |
| Total Medical Medicare Standardized Payment Amount | 284788.51 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 700 |
| Number Of Beneficiaries Age 65 to 74 | 1314 |
| Number Of Beneficiaries Age 75 to 84 | 1026 |
| Number Of Beneficiaries Age Greater 84 | 663 |
| Number Of Female Beneficiaries | 2574 |
| Number Of Male Beneficiaries | 1129 |
| Number Of Non Hispanic White Beneficiaries | 2181 |
| Number Of Black or African American Beneficiaries | 1429 |
| Number Of AsianPacific Islander Beneficiaries | 34 |
| Number Of Hispanic Beneficiaries | 37 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2778 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 925 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7502 |