| National Provider Identifier [NPI]: | 1225094683 |
| Last Name Of The Provider | MANJIKIAN |
| First Name Of The Provider | VIKEN |
| 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 | 2020 PALOMINO LANE |
| Street Address 2 Of The Provider | STE # 100 |
| City Of The Provider | LAS VEGAS |
| Zip Code Of The Provider | 891064894 |
| State Code Of The Provider | NV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 220 |
| Number Of Services | 81418 |
| Number Of Medicare Beneficiaries | 3021 |
| Total Submitted Charge Amount | 11442158.45 |
| Total Medicare Allowed Amount | 1810176.18 |
| Total Medicare Payment Amount | 1393699.36 |
| Total Medicare Standardized Payment Amount | 1281993.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 74944 |
| Number Of Medicare Beneficiaries With Drug Services | 969 |
| Total Drug Submitted ChargeAmount | 343649.2 |
| Total Drug Medicare AllowedAmount | 19810 |
| Total Drug Medicare PaymentAmount | 15368.33 |
| Total Drug Medicare Standardized Payment Amount | 15368.33 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 217 |
| Number Of Medical Services | 6474 |
| Number Of Medicare Beneficiaries With Medical Services | 3020 |
| Total Medical Submitted Charge Amount | 11098509.25 |
| Total Medical Medicare Allowed Amount | 1790366.18 |
| Total Medical Medicare Payment Amount | 1378331.03 |
| Total Medical Medicare Standardized Payment Amount | 1266625.06 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 851 |
| Number Of Beneficiaries Age 65 to 74 | 1203 |
| Number Of Beneficiaries Age 75 to 84 | 747 |
| Number Of Beneficiaries Age Greater 84 | 220 |
| Number Of Female Beneficiaries | 1833 |
| Number Of Male Beneficiaries | 1188 |
| Number Of Non Hispanic White Beneficiaries | 1911 |
| Number Of Black or African American Beneficiaries | 445 |
| Number Of AsianPacific Islander Beneficiaries | 87 |
| Number Of Hispanic Beneficiaries | 511 |
| Number Of American Indian Alaska Native Beneficiaries | 12 |
| Number Of Beneficiaries With Race Not Else where Classified | 55 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1732 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1289 |
| Percent Of With Atrial Fibrillation | 6 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.4427 |