| National Provider Identifier [NPI]: | 1033313465 |
| Last Name Of The Provider | SONAVANE |
| First Name Of The Provider | SUSHILKUMAR |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2000 6TH AVE S |
| Street Address 2 Of The Provider | |
| City Of The Provider | BIRMINGHAM |
| Zip Code Of The Provider | 352332110 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 88 |
| Number Of Services | 16491 |
| Number Of Medicare Beneficiaries | 4410 |
| Total Submitted Charge Amount | 1144875 |
| Total Medicare Allowed Amount | 176355.02 |
| Total Medicare Payment Amount | 128667.15 |
| Total Medicare Standardized Payment Amount | 147448.61 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 9188 |
| Number Of Medicare Beneficiaries With Drug Services | 95 |
| Total Drug Submitted ChargeAmount | 9770 |
| Total Drug Medicare AllowedAmount | 1973.06 |
| Total Drug Medicare PaymentAmount | 1401.19 |
| Total Drug Medicare Standardized Payment Amount | 1401.19 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 85 |
| Number Of Medical Services | 7303 |
| Number Of Medicare Beneficiaries With Medical Services | 4410 |
| Total Medical Submitted Charge Amount | 1135105 |
| Total Medical Medicare Allowed Amount | 174381.96 |
| Total Medical Medicare Payment Amount | 127265.96 |
| Total Medical Medicare Standardized Payment Amount | 146047.42 |
| Average Age Of Beneficiaries | 67 |
| Number Of Beneficiaries Age Less65 | 1362 |
| Number Of Beneficiaries Age 65 to 74 | 1749 |
| Number Of Beneficiaries Age 75 to 84 | 1003 |
| Number Of Beneficiaries Age Greater 84 | 296 |
| Number Of Female Beneficiaries | 2194 |
| Number Of Male Beneficiaries | 2216 |
| Number Of Non Hispanic White Beneficiaries | 3206 |
| Number Of Black or African American Beneficiaries | 1120 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 26 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3389 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1021 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 51 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 2.23 |