| National Provider Identifier [NPI]: | 1558388330 |
| Last Name Of The Provider | KALAPPARAMBATH |
| First Name Of The Provider | TOMY |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | G3239 BEECHER RD |
| Street Address 2 Of The Provider | SUITE F |
| City Of The Provider | FLINT |
| Zip Code Of The Provider | 485323616 |
| 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 | 189 |
| Number Of Services | 7814 |
| Number Of Medicare Beneficiaries | 4165 |
| Total Submitted Charge Amount | 543589 |
| Total Medicare Allowed Amount | 259898.61 |
| Total Medicare Payment Amount | 198976.68 |
| Total Medicare Standardized Payment Amount | 204550 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 189 |
| Number Of Medical Services | 7814 |
| Number Of Medicare Beneficiaries With Medical Services | 4165 |
| Total Medical Submitted Charge Amount | 543589 |
| Total Medical Medicare Allowed Amount | 259898.61 |
| Total Medical Medicare Payment Amount | 198976.68 |
| Total Medical Medicare Standardized Payment Amount | 204550 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1033 |
| Number Of Beneficiaries Age 65 to 74 | 1423 |
| Number Of Beneficiaries Age 75 to 84 | 1157 |
| Number Of Beneficiaries Age Greater 84 | 552 |
| Number Of Female Beneficiaries | 2525 |
| Number Of Male Beneficiaries | 1640 |
| Number Of Non Hispanic White Beneficiaries | 3119 |
| Number Of Black or African American Beneficiaries | 909 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 69 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 48 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3009 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1156 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.0663 |