| National Provider Identifier [NPI]: | 1659308245 |
| Last Name Of The Provider | ALBERT |
| First Name Of The Provider | PRADEEP |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 375 E MAIN ST |
| Street Address 2 Of The Provider | SUITE 12 |
| City Of The Provider | BAY SHORE |
| Zip Code Of The Provider | 117068418 |
| 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 | 228 |
| Number Of Services | 44436 |
| Number Of Medicare Beneficiaries | 5259 |
| Total Submitted Charge Amount | 3456622.25 |
| Total Medicare Allowed Amount | 1381162.04 |
| Total Medicare Payment Amount | 1070301.1 |
| Total Medicare Standardized Payment Amount | 928447.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 35992 |
| Number Of Medicare Beneficiaries With Drug Services | 679 |
| Total Drug Submitted ChargeAmount | 94586 |
| Total Drug Medicare AllowedAmount | 9779.33 |
| Total Drug Medicare PaymentAmount | 7649.91 |
| Total Drug Medicare Standardized Payment Amount | 7649.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 223 |
| Number Of Medical Services | 8444 |
| Number Of Medicare Beneficiaries With Medical Services | 5248 |
| Total Medical Submitted Charge Amount | 3362036.25 |
| Total Medical Medicare Allowed Amount | 1371382.71 |
| Total Medical Medicare Payment Amount | 1062651.19 |
| Total Medical Medicare Standardized Payment Amount | 920797.73 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 575 |
| Number Of Beneficiaries Age 65 to 74 | 2309 |
| Number Of Beneficiaries Age 75 to 84 | 1701 |
| Number Of Beneficiaries Age Greater 84 | 674 |
| Number Of Female Beneficiaries | 3137 |
| Number Of Male Beneficiaries | 2122 |
| Number Of Non Hispanic White Beneficiaries | 4507 |
| Number Of Black or African American Beneficiaries | 226 |
| Number Of AsianPacific Islander Beneficiaries | 63 |
| Number Of Hispanic Beneficiaries | 377 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 86 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4631 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 628 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 17 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.1899 |