| National Provider Identifier [NPI]: | 1366470395 |
| Last Name Of The Provider | RATHOD |
| First Name Of The Provider | FALGUN |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 840 OAKWOOD BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | DEARBORN |
| Zip Code Of The Provider | 481242319 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 213 |
| Number Of Services | 8314 |
| Number Of Medicare Beneficiaries | 5369 |
| Total Submitted Charge Amount | 777090 |
| Total Medicare Allowed Amount | 292259.54 |
| Total Medicare Payment Amount | 221653.21 |
| Total Medicare Standardized Payment Amount | 218223.02 |
| Drug Suppress Indicator | * |
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| Medical SuppressIndicator | # |
| Number Of HCPCS Associated With MedicalServices | |
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| Number Of Medicare Beneficiaries With Medical Services | |
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| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1311 |
| Number Of Beneficiaries Age 65 to 74 | 1613 |
| Number Of Beneficiaries Age 75 to 84 | 1474 |
| Number Of Beneficiaries Age Greater 84 | 971 |
| Number Of Female Beneficiaries | 3185 |
| Number Of Male Beneficiaries | 2184 |
| Number Of Non Hispanic White Beneficiaries | 4318 |
| Number Of Black or African American Beneficiaries | 736 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 175 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 72 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3640 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1729 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 17 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 48 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 48 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 53 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.183 |