| National Provider Identifier [NPI]: | 1124091558 |
| Last Name Of The Provider | CHUNDI |
| First Name Of The Provider | VIJAYA |
| Middle Initial Of The Provider | V |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1596 SE FEDERAL HWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | STUART |
| Zip Code Of The Provider | 349943908 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 178 |
| Number Of Services | 69767 |
| Number Of Medicare Beneficiaries | 3052 |
| Total Submitted Charge Amount | 2944227.01 |
| Total Medicare Allowed Amount | 886052.67 |
| Total Medicare Payment Amount | 689068 |
| Total Medicare Standardized Payment Amount | 671697.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 64037 |
| Number Of Medicare Beneficiaries With Drug Services | 856 |
| Total Drug Submitted ChargeAmount | 52731.56 |
| Total Drug Medicare AllowedAmount | 22434.93 |
| Total Drug Medicare PaymentAmount | 16127.82 |
| Total Drug Medicare Standardized Payment Amount | 16127.82 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 173 |
| Number Of Medical Services | 5730 |
| Number Of Medicare Beneficiaries With Medical Services | 3050 |
| Total Medical Submitted Charge Amount | 2891495.45 |
| Total Medical Medicare Allowed Amount | 863617.74 |
| Total Medical Medicare Payment Amount | 672940.18 |
| Total Medical Medicare Standardized Payment Amount | 655569.8 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 238 |
| Number Of Beneficiaries Age 65 to 74 | 1354 |
| Number Of Beneficiaries Age 75 to 84 | 1073 |
| Number Of Beneficiaries Age Greater 84 | 387 |
| Number Of Female Beneficiaries | 1928 |
| Number Of Male Beneficiaries | 1124 |
| Number Of Non Hispanic White Beneficiaries | 2821 |
| Number Of Black or African American Beneficiaries | 91 |
| Number Of AsianPacific Islander Beneficiaries | 17 |
| Number Of Hispanic Beneficiaries | 87 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2845 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 207 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1112 |