| National Provider Identifier [NPI]: | 1114928140 |
| Last Name Of The Provider | ASHRAF |
| First Name Of The Provider | AKHTAR |
| 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 | 1005 PENNSYLVANIA AVE |
| Street Address 2 Of The Provider | SUITE 103 |
| City Of The Provider | OTTUMWA |
| Zip Code Of The Provider | 525016413 |
| State Code Of The Provider | IA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 163 |
| Number Of Services | 10869 |
| Number Of Medicare Beneficiaries | 4123 |
| Total Submitted Charge Amount | 274119.83 |
| Total Medicare Allowed Amount | 248094.4 |
| Total Medicare Payment Amount | 185600.25 |
| Total Medicare Standardized Payment Amount | 198250.98 |
| 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 | 163 |
| Number Of Medical Services | 10869 |
| Number Of Medicare Beneficiaries With Medical Services | 4123 |
| Total Medical Submitted Charge Amount | 274119.83 |
| Total Medical Medicare Allowed Amount | 248094.4 |
| Total Medical Medicare Payment Amount | 185600.25 |
| Total Medical Medicare Standardized Payment Amount | 198250.98 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 620 |
| Number Of Beneficiaries Age 65 to 74 | 1529 |
| Number Of Beneficiaries Age 75 to 84 | 1237 |
| Number Of Beneficiaries Age Greater 84 | 737 |
| Number Of Female Beneficiaries | 2823 |
| Number Of Male Beneficiaries | 1300 |
| Number Of Non Hispanic White Beneficiaries | 4033 |
| Number Of Black or African American Beneficiaries | 20 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 20 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3143 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 980 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 47 |
| Percent Of With Hypertension | 64 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.1632 |