| National Provider Identifier [NPI]: | 1043250053 |
| Last Name Of The Provider | MIRZA |
| First Name Of The Provider | NAJMA |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3701 JARVIS AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | SKOKIE |
| Zip Code Of The Provider | 600764019 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 57 |
| Number Of Services | 20183 |
| Number Of Medicare Beneficiaries | 9249 |
| Total Submitted Charge Amount | 5772475 |
| Total Medicare Allowed Amount | 273760.76 |
| Total Medicare Payment Amount | 213700.27 |
| Total Medicare Standardized Payment Amount | 201342.42 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 57 |
| Number Of Medical Services | 20183 |
| Number Of Medicare Beneficiaries With Medical Services | 9249 |
| Total Medical Submitted Charge Amount | 5772475 |
| Total Medical Medicare Allowed Amount | 273760.76 |
| Total Medical Medicare Payment Amount | 213700.27 |
| Total Medical Medicare Standardized Payment Amount | 201342.42 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 1809 |
| Number Of Beneficiaries Age 65 to 74 | 1927 |
| Number Of Beneficiaries Age 75 to 84 | 2501 |
| Number Of Beneficiaries Age Greater 84 | 3012 |
| Number Of Female Beneficiaries | 5535 |
| Number Of Male Beneficiaries | 3714 |
| Number Of Non Hispanic White Beneficiaries | 6324 |
| Number Of Black or African American Beneficiaries | 2107 |
| Number Of AsianPacific Islander Beneficiaries | 220 |
| Number Of Hispanic Beneficiaries | 507 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 78 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2923 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 6326 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 63 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 52 |
| Percent Of With Chronic Kidney Disease | 52 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 40 |
| Percent Of With Depression | 57 |
| Percent Of With Diabetes | 55 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 35 |
| Percent Of With Stroke | 19 |
| Average HCC Risk Score Of Beneficiaries | 2.8973 |