| National Provider Identifier [NPI]: | 1932195138 |
| Last Name Of The Provider | SYALI |
| First Name Of The Provider | GURMOHAN |
| 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 | 235 N BELLE MEAD RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | E SETAUKET |
| Zip Code Of The Provider | 117333456 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 189 |
| Number Of Services | 246035 |
| Number Of Medicare Beneficiaries | 1230 |
| Total Submitted Charge Amount | 6520730.98 |
| Total Medicare Allowed Amount | 3339412.85 |
| Total Medicare Payment Amount | 2607577.78 |
| Total Medicare Standardized Payment Amount | 2520941.6 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 88 |
| Number Of Drug Services | 214987 |
| Number Of Medicare Beneficiaries With Drug Services | 420 |
| Total Drug Submitted ChargeAmount | 3438010.4 |
| Total Drug Medicare AllowedAmount | 1851816.28 |
| Total Drug Medicare PaymentAmount | 1440520.89 |
| Total Drug Medicare Standardized Payment Amount | 1440520.89 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 101 |
| Number Of Medical Services | 31048 |
| Number Of Medicare Beneficiaries With Medical Services | 1230 |
| Total Medical Submitted Charge Amount | 3082720.58 |
| Total Medical Medicare Allowed Amount | 1487596.57 |
| Total Medical Medicare Payment Amount | 1167056.89 |
| Total Medical Medicare Standardized Payment Amount | 1080420.71 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 193 |
| Number Of Beneficiaries Age 65 to 74 | 489 |
| Number Of Beneficiaries Age 75 to 84 | 379 |
| Number Of Beneficiaries Age Greater 84 | 169 |
| Number Of Female Beneficiaries | 684 |
| Number Of Male Beneficiaries | 546 |
| Number Of Non Hispanic White Beneficiaries | 1035 |
| Number Of Black or African American Beneficiaries | 87 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 71 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 934 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 296 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 35 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 50 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.2985 |