| National Provider Identifier [NPI]: | 1447274709 |
| Last Name Of The Provider | CHAWLA |
| First Name Of The Provider | SIMMI |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 E CARROLL ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SALISBURY |
| Zip Code Of The Provider | 218015422 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 235 |
| Number Of Services | 17095 |
| Number Of Medicare Beneficiaries | 5183 |
| Total Submitted Charge Amount | 1273077.45 |
| Total Medicare Allowed Amount | 464294.71 |
| Total Medicare Payment Amount | 356120.66 |
| Total Medicare Standardized Payment Amount | 353714.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 8443 |
| Number Of Medicare Beneficiaries With Drug Services | 136 |
| Total Drug Submitted ChargeAmount | 4231.05 |
| Total Drug Medicare AllowedAmount | 2634.59 |
| Total Drug Medicare PaymentAmount | 2028.91 |
| Total Drug Medicare Standardized Payment Amount | 2028.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 233 |
| Number Of Medical Services | 8652 |
| Number Of Medicare Beneficiaries With Medical Services | 5183 |
| Total Medical Submitted Charge Amount | 1268846.4 |
| Total Medical Medicare Allowed Amount | 461660.12 |
| Total Medical Medicare Payment Amount | 354091.75 |
| Total Medical Medicare Standardized Payment Amount | 351685.61 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 837 |
| Number Of Beneficiaries Age 65 to 74 | 2049 |
| Number Of Beneficiaries Age 75 to 84 | 1592 |
| Number Of Beneficiaries Age Greater 84 | 705 |
| Number Of Female Beneficiaries | 3149 |
| Number Of Male Beneficiaries | 2034 |
| Number Of Non Hispanic White Beneficiaries | 4184 |
| Number Of Black or African American Beneficiaries | 886 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 44 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3974 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1209 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.682 |