| National Provider Identifier [NPI]: | 1447383872 |
| Last Name Of The Provider | FRAYHA |
| First Name Of The Provider | ANIS |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7253 AMBASSADOR RD |
| Street Address 2 Of The Provider | DIAGNOSTIC RADIOLOGY |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212442710 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 155 |
| Number Of Services | 13628 |
| Number Of Medicare Beneficiaries | 3925 |
| Total Submitted Charge Amount | 1872594.17 |
| Total Medicare Allowed Amount | 522503.18 |
| Total Medicare Payment Amount | 393684.77 |
| Total Medicare Standardized Payment Amount | 375703.29 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 7021 |
| Number Of Medicare Beneficiaries With Drug Services | 214 |
| Total Drug Submitted ChargeAmount | 11227.12 |
| Total Drug Medicare AllowedAmount | 6941.85 |
| Total Drug Medicare PaymentAmount | 4930.58 |
| Total Drug Medicare Standardized Payment Amount | 4930.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 151 |
| Number Of Medical Services | 6607 |
| Number Of Medicare Beneficiaries With Medical Services | 3924 |
| Total Medical Submitted Charge Amount | 1861367.05 |
| Total Medical Medicare Allowed Amount | 515561.33 |
| Total Medical Medicare Payment Amount | 388754.19 |
| Total Medical Medicare Standardized Payment Amount | 370772.71 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 782 |
| Number Of Beneficiaries Age 65 to 74 | 1408 |
| Number Of Beneficiaries Age 75 to 84 | 1123 |
| Number Of Beneficiaries Age Greater 84 | 612 |
| Number Of Female Beneficiaries | 2332 |
| Number Of Male Beneficiaries | 1593 |
| Number Of Non Hispanic White Beneficiaries | 3157 |
| Number Of Black or African American Beneficiaries | 591 |
| Number Of AsianPacific Islander Beneficiaries | 83 |
| Number Of Hispanic Beneficiaries | 53 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3141 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 784 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 1.7403 |