| National Provider Identifier [NPI]: | 1629076187 |
| Last Name Of The Provider | SHAH |
| First Name Of The Provider | ASHIT |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 601 E ROLLINS ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | ORLANDO |
| Zip Code Of The Provider | 328031248 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 75 |
| Number Of Services | 28722 |
| Number Of Medicare Beneficiaries | 5747 |
| Total Submitted Charge Amount | 918005.81 |
| Total Medicare Allowed Amount | 304808.08 |
| Total Medicare Payment Amount | 228082.36 |
| Total Medicare Standardized Payment Amount | 234034.82 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 21490 |
| Number Of Medicare Beneficiaries With Drug Services | 168 |
| Total Drug Submitted ChargeAmount | 9586.9 |
| Total Drug Medicare AllowedAmount | 4161.76 |
| Total Drug Medicare PaymentAmount | 3159.74 |
| Total Drug Medicare Standardized Payment Amount | 3159.74 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 72 |
| Number Of Medical Services | 7232 |
| Number Of Medicare Beneficiaries With Medical Services | 5744 |
| Total Medical Submitted Charge Amount | 908418.91 |
| Total Medical Medicare Allowed Amount | 300646.32 |
| Total Medical Medicare Payment Amount | 224922.62 |
| Total Medical Medicare Standardized Payment Amount | 230875.08 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1073 |
| Number Of Beneficiaries Age 65 to 74 | 1986 |
| Number Of Beneficiaries Age 75 to 84 | 1724 |
| Number Of Beneficiaries Age Greater 84 | 964 |
| Number Of Female Beneficiaries | 3241 |
| Number Of Male Beneficiaries | 2506 |
| Number Of Non Hispanic White Beneficiaries | 4071 |
| Number Of Black or African American Beneficiaries | 624 |
| Number Of AsianPacific Islander Beneficiaries | 81 |
| Number Of Hispanic Beneficiaries | 887 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4161 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1586 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.172 |