| National Provider Identifier [NPI]: | 1265751150 |
| Last Name Of The Provider | TATINENY |
| First Name Of The Provider | KALYAN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2400 S CIMARRON RD |
| Street Address 2 Of The Provider | STE 100 |
| City Of The Provider | LAS VEGAS |
| Zip Code Of The Provider | 891177938 |
| State Code Of The Provider | NV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 215 |
| Number Of Services | 10293 |
| Number Of Medicare Beneficiaries | 3913 |
| Total Submitted Charge Amount | 1494079.75 |
| Total Medicare Allowed Amount | 342239.85 |
| Total Medicare Payment Amount | 261818.29 |
| Total Medicare Standardized Payment Amount | 259537.16 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 4574 |
| Number Of Medicare Beneficiaries With Drug Services | 68 |
| Total Drug Submitted ChargeAmount | 16464.75 |
| Total Drug Medicare AllowedAmount | 1644.55 |
| Total Drug Medicare PaymentAmount | 1262.44 |
| Total Drug Medicare Standardized Payment Amount | 1262.44 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 210 |
| Number Of Medical Services | 5719 |
| Number Of Medicare Beneficiaries With Medical Services | 3913 |
| Total Medical Submitted Charge Amount | 1477615 |
| Total Medical Medicare Allowed Amount | 340595.3 |
| Total Medical Medicare Payment Amount | 260555.85 |
| Total Medical Medicare Standardized Payment Amount | 258274.72 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 662 |
| Number Of Beneficiaries Age 65 to 74 | 1611 |
| Number Of Beneficiaries Age 75 to 84 | 1153 |
| Number Of Beneficiaries Age Greater 84 | 487 |
| Number Of Female Beneficiaries | 2297 |
| Number Of Male Beneficiaries | 1616 |
| Number Of Non Hispanic White Beneficiaries | 2871 |
| Number Of Black or African American Beneficiaries | 390 |
| Number Of AsianPacific Islander Beneficiaries | 202 |
| Number Of Hispanic Beneficiaries | 347 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 92 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3063 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 850 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.8382 |