| National Provider Identifier [NPI]: | 1891807863 |
| Last Name Of The Provider | KRISHNANANTHAN |
| First Name Of The Provider | RUBEN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1780 NW MYHRE RD. |
| Street Address 2 Of The Provider | SUITE 1220 |
| City Of The Provider | SILVERDALE |
| Zip Code Of The Provider | 98383 |
| State Code Of The Provider | WA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 192 |
| Number Of Services | 13934 |
| Number Of Medicare Beneficiaries | 3136 |
| Total Submitted Charge Amount | 924869.38 |
| Total Medicare Allowed Amount | 290624.76 |
| Total Medicare Payment Amount | 212441.4 |
| Total Medicare Standardized Payment Amount | 216284.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 8830 |
| Number Of Medicare Beneficiaries With Drug Services | 129 |
| Total Drug Submitted ChargeAmount | 3872.15 |
| Total Drug Medicare AllowedAmount | 3872.15 |
| Total Drug Medicare PaymentAmount | 2986.61 |
| Total Drug Medicare Standardized Payment Amount | 2986.61 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 190 |
| Number Of Medical Services | 5104 |
| Number Of Medicare Beneficiaries With Medical Services | 3136 |
| Total Medical Submitted Charge Amount | 920997.23 |
| Total Medical Medicare Allowed Amount | 286752.61 |
| Total Medical Medicare Payment Amount | 209454.79 |
| Total Medical Medicare Standardized Payment Amount | 213298.23 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 591 |
| Number Of Beneficiaries Age 65 to 74 | 1173 |
| Number Of Beneficiaries Age 75 to 84 | 867 |
| Number Of Beneficiaries Age Greater 84 | 505 |
| Number Of Female Beneficiaries | 1811 |
| Number Of Male Beneficiaries | 1325 |
| Number Of Non Hispanic White Beneficiaries | 2853 |
| Number Of Black or African American Beneficiaries | 49 |
| Number Of AsianPacific Islander Beneficiaries | 84 |
| Number Of Hispanic Beneficiaries | 60 |
| Number Of American Indian Alaska Native Beneficiaries | 40 |
| Number Of Beneficiaries With Race Not Else where Classified | 50 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2347 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 789 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5557 |