| National Provider Identifier [NPI]: | 1003894569 |
| Last Name Of The Provider | VIJ |
| First Name Of The Provider | VIKAS |
| 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 | 3330 NW 56TH |
| Street Address 2 Of The Provider | SUITE 206 |
| City Of The Provider | OKLAHOMA CITY |
| Zip Code Of The Provider | 731124426 |
| State Code Of The Provider | OK |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 184 |
| Number Of Services | 13396 |
| Number Of Medicare Beneficiaries | 3923 |
| Total Submitted Charge Amount | 398259.88 |
| Total Medicare Allowed Amount | 341874.65 |
| Total Medicare Payment Amount | 259887.97 |
| Total Medicare Standardized Payment Amount | 281344.27 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 7011 |
| Number Of Medicare Beneficiaries With Drug Services | 184 |
| Total Drug Submitted ChargeAmount | 6065.06 |
| Total Drug Medicare AllowedAmount | 4911.12 |
| Total Drug Medicare PaymentAmount | 3794.14 |
| Total Drug Medicare Standardized Payment Amount | 3794.14 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 182 |
| Number Of Medical Services | 6385 |
| Number Of Medicare Beneficiaries With Medical Services | 3923 |
| Total Medical Submitted Charge Amount | 392194.82 |
| Total Medical Medicare Allowed Amount | 336963.53 |
| Total Medical Medicare Payment Amount | 256093.83 |
| Total Medical Medicare Standardized Payment Amount | 277550.13 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 761 |
| Number Of Beneficiaries Age 65 to 74 | 1476 |
| Number Of Beneficiaries Age 75 to 84 | 1141 |
| Number Of Beneficiaries Age Greater 84 | 545 |
| Number Of Female Beneficiaries | 2271 |
| Number Of Male Beneficiaries | 1652 |
| Number Of Non Hispanic White Beneficiaries | 3215 |
| Number Of Black or African American Beneficiaries | 343 |
| Number Of AsianPacific Islander Beneficiaries | 68 |
| Number Of Hispanic Beneficiaries | 84 |
| Number Of American Indian Alaska Native Beneficiaries | 182 |
| Number Of Beneficiaries With Race Not Else where Classified | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3064 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 859 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.0395 |