| National Provider Identifier [NPI]: | 1760477236 |
| Last Name Of The Provider | MAHESHWARI |
| First Name Of The Provider | MUKUL |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3226 S ALAMEDA ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | CORPUS CHRISTI |
| Zip Code Of The Provider | 784042508 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 188 |
| Number Of Services | 14317 |
| Number Of Medicare Beneficiaries | 4085 |
| Total Submitted Charge Amount | 1666302.9 |
| Total Medicare Allowed Amount | 371812.21 |
| Total Medicare Payment Amount | 279069.16 |
| Total Medicare Standardized Payment Amount | 305201.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 7815 |
| Number Of Medicare Beneficiaries With Drug Services | 235 |
| Total Drug Submitted ChargeAmount | 13771.9 |
| Total Drug Medicare AllowedAmount | 6704.64 |
| Total Drug Medicare PaymentAmount | 5035.45 |
| Total Drug Medicare Standardized Payment Amount | 5035.45 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 182 |
| Number Of Medical Services | 6502 |
| Number Of Medicare Beneficiaries With Medical Services | 4084 |
| Total Medical Submitted Charge Amount | 1652531 |
| Total Medical Medicare Allowed Amount | 365107.57 |
| Total Medical Medicare Payment Amount | 274033.71 |
| Total Medical Medicare Standardized Payment Amount | 300166.51 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 893 |
| Number Of Beneficiaries Age 65 to 74 | 1388 |
| Number Of Beneficiaries Age 75 to 84 | 1134 |
| Number Of Beneficiaries Age Greater 84 | 670 |
| Number Of Female Beneficiaries | 2310 |
| Number Of Male Beneficiaries | 1775 |
| Number Of Non Hispanic White Beneficiaries | 1960 |
| Number Of Black or African American Beneficiaries | 135 |
| Number Of AsianPacific Islander Beneficiaries | 23 |
| Number Of Hispanic Beneficiaries | 1950 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2559 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1526 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 52 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.1323 |