| National Provider Identifier [NPI]: | 1285659649 |
| Last Name Of The Provider | ALAM |
| First Name Of The Provider | HAMID |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 101 HOSPITAL RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | PATCHOGUE |
| Zip Code Of The Provider | 117724870 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 161 |
| Number Of Services | 13875 |
| Number Of Medicare Beneficiaries | 6049 |
| Total Submitted Charge Amount | 1612439 |
| Total Medicare Allowed Amount | 509527.68 |
| Total Medicare Payment Amount | 395603.64 |
| Total Medicare Standardized Payment Amount | 358844.91 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 289 |
| Number Of Medicare Beneficiaries With Drug Services | 11 |
| Total Drug Submitted ChargeAmount | 815 |
| Total Drug Medicare AllowedAmount | 354.46 |
| Total Drug Medicare PaymentAmount | 277.91 |
| Total Drug Medicare Standardized Payment Amount | 277.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 159 |
| Number Of Medical Services | 13586 |
| Number Of Medicare Beneficiaries With Medical Services | 6049 |
| Total Medical Submitted Charge Amount | 1611624 |
| Total Medical Medicare Allowed Amount | 509173.22 |
| Total Medical Medicare Payment Amount | 395325.73 |
| Total Medical Medicare Standardized Payment Amount | 358567 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1052 |
| Number Of Beneficiaries Age 65 to 74 | 1990 |
| Number Of Beneficiaries Age 75 to 84 | 2075 |
| Number Of Beneficiaries Age Greater 84 | 932 |
| Number Of Female Beneficiaries | 3561 |
| Number Of Male Beneficiaries | 2488 |
| Number Of Non Hispanic White Beneficiaries | 4557 |
| Number Of Black or African American Beneficiaries | 673 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 400 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 352 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1988 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 4061 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 53 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 63 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 64 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.9601 |