| National Provider Identifier [NPI]: | 1124036769 |
| Last Name Of The Provider | RAIKER |
| First Name Of The Provider | KRISHNAKANT |
| 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 | 9038 COLUMBIA AVE |
| Street Address 2 Of The Provider | SUITE B |
| City Of The Provider | MUNSTER |
| Zip Code Of The Provider | 463212905 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 110 |
| Number Of Services | 13266 |
| Number Of Medicare Beneficiaries | 3333 |
| Total Submitted Charge Amount | 3308315 |
| Total Medicare Allowed Amount | 975931.46 |
| Total Medicare Payment Amount | 727150.7 |
| Total Medicare Standardized Payment Amount | 714470.86 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 466 |
| Number Of Medicare Beneficiaries With Drug Services | 149 |
| Total Drug Submitted ChargeAmount | 63606 |
| Total Drug Medicare AllowedAmount | 20258.1 |
| Total Drug Medicare PaymentAmount | 15733.16 |
| Total Drug Medicare Standardized Payment Amount | 15733.16 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 107 |
| Number Of Medical Services | 12800 |
| Number Of Medicare Beneficiaries With Medical Services | 3333 |
| Total Medical Submitted Charge Amount | 3244709 |
| Total Medical Medicare Allowed Amount | 955673.36 |
| Total Medical Medicare Payment Amount | 711417.54 |
| Total Medical Medicare Standardized Payment Amount | 698737.7 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 451 |
| Number Of Beneficiaries Age 65 to 74 | 1088 |
| Number Of Beneficiaries Age 75 to 84 | 1076 |
| Number Of Beneficiaries Age Greater 84 | 718 |
| Number Of Female Beneficiaries | 1878 |
| Number Of Male Beneficiaries | 1455 |
| Number Of Non Hispanic White Beneficiaries | 2439 |
| Number Of Black or African American Beneficiaries | 488 |
| Number Of AsianPacific Islander Beneficiaries | 23 |
| Number Of Hispanic Beneficiaries | 363 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2731 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 602 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 48 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.0716 |