| National Provider Identifier [NPI]: | 1134377138 |
| Last Name Of The Provider | SACHDEV |
| First Name Of The Provider | KARINA |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 NICHOLS RD |
| Street Address 2 Of The Provider | HSC LEVEL 4, ROOM 120 |
| City Of The Provider | STONY BROOK |
| Zip Code Of The Provider | 117948460 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 85 |
| Number Of Services | 3859 |
| Number Of Medicare Beneficiaries | 1421 |
| Total Submitted Charge Amount | 456824.98 |
| Total Medicare Allowed Amount | 234853.41 |
| Total Medicare Payment Amount | 183873.73 |
| Total Medicare Standardized Payment Amount | 157233.77 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1970 |
| Number Of Medicare Beneficiaries With Drug Services | 17 |
| Total Drug Submitted ChargeAmount | 785.2 |
| Total Drug Medicare AllowedAmount | 490.15 |
| Total Drug Medicare PaymentAmount | 384.27 |
| Total Drug Medicare Standardized Payment Amount | 384.27 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 83 |
| Number Of Medical Services | 1889 |
| Number Of Medicare Beneficiaries With Medical Services | 1421 |
| Total Medical Submitted Charge Amount | 456039.78 |
| Total Medical Medicare Allowed Amount | 234363.26 |
| Total Medical Medicare Payment Amount | 183489.46 |
| Total Medical Medicare Standardized Payment Amount | 156849.5 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 250 |
| Number Of Beneficiaries Age 65 to 74 | 631 |
| Number Of Beneficiaries Age 75 to 84 | 424 |
| Number Of Beneficiaries Age Greater 84 | 116 |
| Number Of Female Beneficiaries | 1101 |
| Number Of Male Beneficiaries | 320 |
| Number Of Non Hispanic White Beneficiaries | 331 |
| Number Of Black or African American Beneficiaries | 547 |
| Number Of AsianPacific Islander Beneficiaries | 318 |
| Number Of Hispanic Beneficiaries | 147 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 484 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 937 |
| Percent Of With Atrial Fibrillation | 4 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 51 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 23 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.1877 |