| National Provider Identifier [NPI]: | 1780781088 |
| Last Name Of The Provider | IQTIDAR |
| First Name Of The Provider | ALI |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2525 W UNIVERSITY AVE |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | MUNCIE |
| Zip Code Of The Provider | 473033400 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 131 |
| Number Of Services | 6728 |
| Number Of Medicare Beneficiaries | 2564 |
| Total Submitted Charge Amount | 1631681.6 |
| Total Medicare Allowed Amount | 540392.84 |
| Total Medicare Payment Amount | 406326.5 |
| Total Medicare Standardized Payment Amount | 440259.43 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 527 |
| Number Of Medicare Beneficiaries With Drug Services | 131 |
| Total Drug Submitted ChargeAmount | 65584 |
| Total Drug Medicare AllowedAmount | 27252.36 |
| Total Drug Medicare PaymentAmount | 21033.74 |
| Total Drug Medicare Standardized Payment Amount | 21033.74 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 128 |
| Number Of Medical Services | 6201 |
| Number Of Medicare Beneficiaries With Medical Services | 2564 |
| Total Medical Submitted Charge Amount | 1566097.6 |
| Total Medical Medicare Allowed Amount | 513140.48 |
| Total Medical Medicare Payment Amount | 385292.76 |
| Total Medical Medicare Standardized Payment Amount | 419225.69 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 436 |
| Number Of Beneficiaries Age 65 to 74 | 864 |
| Number Of Beneficiaries Age 75 to 84 | 809 |
| Number Of Beneficiaries Age Greater 84 | 455 |
| Number Of Female Beneficiaries | 1349 |
| Number Of Male Beneficiaries | 1215 |
| Number Of Non Hispanic White Beneficiaries | 2410 |
| Number Of Black or African American Beneficiaries | 121 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 15 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1903 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 661 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 64 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7662 |