| National Provider Identifier [NPI]: | 1326084377 |
| Last Name Of The Provider | GUPTA |
| First Name Of The Provider | AKSHAY |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1255 HILYARD STREET |
| Street Address 2 Of The Provider | |
| City Of The Provider | EUGENE |
| Zip Code Of The Provider | 97401 |
| State Code Of The Provider | OR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 175 |
| Number Of Services | 15860 |
| Number Of Medicare Beneficiaries | 3775 |
| Total Submitted Charge Amount | 1495929.61 |
| Total Medicare Allowed Amount | 323217.03 |
| Total Medicare Payment Amount | 241634.41 |
| Total Medicare Standardized Payment Amount | 253434.36 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 9405 |
| Number Of Medicare Beneficiaries With Drug Services | 218 |
| Total Drug Submitted ChargeAmount | 41119 |
| Total Drug Medicare AllowedAmount | 6368.53 |
| Total Drug Medicare PaymentAmount | 4950.47 |
| Total Drug Medicare Standardized Payment Amount | 4950.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 168 |
| Number Of Medical Services | 6455 |
| Number Of Medicare Beneficiaries With Medical Services | 3774 |
| Total Medical Submitted Charge Amount | 1454810.61 |
| Total Medical Medicare Allowed Amount | 316848.5 |
| Total Medical Medicare Payment Amount | 236683.94 |
| Total Medical Medicare Standardized Payment Amount | 248483.89 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 741 |
| Number Of Beneficiaries Age 65 to 74 | 1454 |
| Number Of Beneficiaries Age 75 to 84 | 972 |
| Number Of Beneficiaries Age Greater 84 | 608 |
| Number Of Female Beneficiaries | 2074 |
| Number Of Male Beneficiaries | 1701 |
| Number Of Non Hispanic White Beneficiaries | 3549 |
| Number Of Black or African American Beneficiaries | 31 |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | 73 |
| Number Of American Indian Alaska Native Beneficiaries | 58 |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2768 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1007 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.4673 |