| National Provider Identifier [NPI]: | 1245475649 |
| Last Name Of The Provider | RADMANESH |
| First Name Of The Provider | SHARDAN |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1218 S BROADWAY |
| Street Address 2 Of The Provider | STE 310 |
| City Of The Provider | LEXINGTON |
| Zip Code Of The Provider | 405042759 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 196 |
| Number Of Services | 10887 |
| Number Of Medicare Beneficiaries | 4970 |
| Total Submitted Charge Amount | 855955 |
| Total Medicare Allowed Amount | 271677.91 |
| Total Medicare Payment Amount | 213971.97 |
| Total Medicare Standardized Payment Amount | 226870.34 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 196 |
| Number Of Medical Services | 10887 |
| Number Of Medicare Beneficiaries With Medical Services | 4970 |
| Total Medical Submitted Charge Amount | 855955 |
| Total Medical Medicare Allowed Amount | 271677.91 |
| Total Medical Medicare Payment Amount | 213971.97 |
| Total Medical Medicare Standardized Payment Amount | 226870.34 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 1367 |
| Number Of Beneficiaries Age 65 to 74 | 1693 |
| Number Of Beneficiaries Age 75 to 84 | 1290 |
| Number Of Beneficiaries Age Greater 84 | 620 |
| Number Of Female Beneficiaries | 3185 |
| Number Of Male Beneficiaries | 1785 |
| Number Of Non Hispanic White Beneficiaries | 4714 |
| Number Of Black or African American Beneficiaries | 203 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3009 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1961 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.5491 |