| National Provider Identifier [NPI]: | 1144329848 |
| Last Name Of The Provider | AMESUR |
| First Name Of The Provider | SANDEEP |
| 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 | 8305 KNIGHT RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | HOUSTON |
| Zip Code Of The Provider | 770543905 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 149 |
| Number Of Services | 23040 |
| Number Of Medicare Beneficiaries | 8743 |
| Total Submitted Charge Amount | 2843284.3 |
| Total Medicare Allowed Amount | 460301.6 |
| Total Medicare Payment Amount | 356166.28 |
| Total Medicare Standardized Payment Amount | 362271.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 3211 |
| Number Of Medicare Beneficiaries With Drug Services | 50 |
| Total Drug Submitted ChargeAmount | 10110 |
| Total Drug Medicare AllowedAmount | 1414.6 |
| Total Drug Medicare PaymentAmount | 1109.09 |
| Total Drug Medicare Standardized Payment Amount | 1109.09 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 147 |
| Number Of Medical Services | 19829 |
| Number Of Medicare Beneficiaries With Medical Services | 8743 |
| Total Medical Submitted Charge Amount | 2833174.3 |
| Total Medical Medicare Allowed Amount | 458887 |
| Total Medical Medicare Payment Amount | 355057.19 |
| Total Medical Medicare Standardized Payment Amount | 361162.29 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 1644 |
| Number Of Beneficiaries Age 65 to 74 | 2356 |
| Number Of Beneficiaries Age 75 to 84 | 2535 |
| Number Of Beneficiaries Age Greater 84 | 2208 |
| Number Of Female Beneficiaries | 4928 |
| Number Of Male Beneficiaries | 3815 |
| Number Of Non Hispanic White Beneficiaries | 5430 |
| Number Of Black or African American Beneficiaries | 2024 |
| Number Of AsianPacific Islander Beneficiaries | 270 |
| Number Of Hispanic Beneficiaries | 949 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 59 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5160 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3583 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 48 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 64 |
| Percent Of With Chronic Kidney Disease | 62 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 44 |
| Percent Of With Depression | 50 |
| Percent Of With Diabetes | 59 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 68 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 17 |
| Percent Of With Stroke | 22 |
| Average HCC Risk Score Of Beneficiaries | 3.1196 |