| National Provider Identifier [NPI]: | 1134260540 |
| Last Name Of The Provider | TALUKDAR |
| First Name Of The Provider | RONI |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1001 SAM PERRY BLVD |
| Street Address 2 Of The Provider | RADIOLOGIC ASSOCIATES OF FREDERICKSBURG |
| City Of The Provider | FREDERICKSBURG |
| Zip Code Of The Provider | 224014453 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 132 |
| Number Of Services | 24043 |
| Number Of Medicare Beneficiaries | 2626 |
| Total Submitted Charge Amount | 1917060 |
| Total Medicare Allowed Amount | 343864.77 |
| Total Medicare Payment Amount | 274622.1 |
| Total Medicare Standardized Payment Amount | 292410.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 19867 |
| Number Of Medicare Beneficiaries With Drug Services | 254 |
| Total Drug Submitted ChargeAmount | 60641 |
| Total Drug Medicare AllowedAmount | 6154.57 |
| Total Drug Medicare PaymentAmount | 4508.52 |
| Total Drug Medicare Standardized Payment Amount | 4508.52 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 129 |
| Number Of Medical Services | 4176 |
| Number Of Medicare Beneficiaries With Medical Services | 2626 |
| Total Medical Submitted Charge Amount | 1856419 |
| Total Medical Medicare Allowed Amount | 337710.2 |
| Total Medical Medicare Payment Amount | 270113.58 |
| Total Medical Medicare Standardized Payment Amount | 287901.79 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 396 |
| Number Of Beneficiaries Age 65 to 74 | 1191 |
| Number Of Beneficiaries Age 75 to 84 | 768 |
| Number Of Beneficiaries Age Greater 84 | 271 |
| Number Of Female Beneficiaries | 1799 |
| Number Of Male Beneficiaries | 827 |
| Number Of Non Hispanic White Beneficiaries | 2106 |
| Number Of Black or African American Beneficiaries | 420 |
| Number Of AsianPacific Islander Beneficiaries | 28 |
| Number Of Hispanic Beneficiaries | 43 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2209 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 417 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5235 |