| National Provider Identifier [NPI]: | 1821084336 |
| Last Name Of The Provider | JASWAL |
| First Name Of The Provider | PUPINDER |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 114 WOODLAND ST |
| Street Address 2 Of The Provider | RADIOLOGY DEPARTMENT |
| City Of The Provider | HARTFORD |
| Zip Code Of The Provider | 061051208 |
| State Code Of The Provider | CT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 129 |
| Number Of Services | 12756 |
| Number Of Medicare Beneficiaries | 3643 |
| Total Submitted Charge Amount | 747097 |
| Total Medicare Allowed Amount | 293839.46 |
| Total Medicare Payment Amount | 235923.45 |
| Total Medicare Standardized Payment Amount | 220062.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 6440 |
| Number Of Medicare Beneficiaries With Drug Services | 65 |
| Total Drug Submitted ChargeAmount | 2898 |
| Total Drug Medicare AllowedAmount | 1210.48 |
| Total Drug Medicare PaymentAmount | 949.06 |
| Total Drug Medicare Standardized Payment Amount | 949.06 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 128 |
| Number Of Medical Services | 6316 |
| Number Of Medicare Beneficiaries With Medical Services | 3643 |
| Total Medical Submitted Charge Amount | 744199 |
| Total Medical Medicare Allowed Amount | 292628.98 |
| Total Medical Medicare Payment Amount | 234974.39 |
| Total Medical Medicare Standardized Payment Amount | 219113.19 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 557 |
| Number Of Beneficiaries Age 65 to 74 | 1116 |
| Number Of Beneficiaries Age 75 to 84 | 1166 |
| Number Of Beneficiaries Age Greater 84 | 804 |
| Number Of Female Beneficiaries | 2409 |
| Number Of Male Beneficiaries | 1234 |
| Number Of Non Hispanic White Beneficiaries | 2691 |
| Number Of Black or African American Beneficiaries | 559 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 277 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 57 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2274 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1369 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8234 |