| National Provider Identifier [NPI]: | 1770557480 |
| Last Name Of The Provider | SHAH |
| First Name Of The Provider | KASHMIRA |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 850 E LATHAM AVE |
| Street Address 2 Of The Provider | SUITE 101 |
| City Of The Provider | HEMET |
| Zip Code Of The Provider | 925434391 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 195 |
| Number Of Services | 37408 |
| Number Of Medicare Beneficiaries | 3174 |
| Total Submitted Charge Amount | 1600586.46 |
| Total Medicare Allowed Amount | 606937.51 |
| Total Medicare Payment Amount | 474022.93 |
| Total Medicare Standardized Payment Amount | 449058.2 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 31477 |
| Number Of Medicare Beneficiaries With Drug Services | 374 |
| Total Drug Submitted ChargeAmount | 15799.46 |
| Total Drug Medicare AllowedAmount | 8280.16 |
| Total Drug Medicare PaymentAmount | 6270.96 |
| Total Drug Medicare Standardized Payment Amount | 6270.96 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 192 |
| Number Of Medical Services | 5931 |
| Number Of Medicare Beneficiaries With Medical Services | 3174 |
| Total Medical Submitted Charge Amount | 1584787 |
| Total Medical Medicare Allowed Amount | 598657.35 |
| Total Medical Medicare Payment Amount | 467751.97 |
| Total Medical Medicare Standardized Payment Amount | 442787.24 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 494 |
| Number Of Beneficiaries Age 65 to 74 | 1281 |
| Number Of Beneficiaries Age 75 to 84 | 965 |
| Number Of Beneficiaries Age Greater 84 | 434 |
| Number Of Female Beneficiaries | 2099 |
| Number Of Male Beneficiaries | 1075 |
| Number Of Non Hispanic White Beneficiaries | 2248 |
| Number Of Black or African American Beneficiaries | 146 |
| Number Of AsianPacific Islander Beneficiaries | 117 |
| Number Of Hispanic Beneficiaries | 602 |
| Number Of American Indian Alaska Native Beneficiaries | 19 |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2199 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 975 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.3013 |