| National Provider Identifier [NPI]: | 1871599092 |
| Last Name Of The Provider | KARAK |
| First Name Of The Provider | PRASANTA |
| 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 | 111 FOUNDERS PLAZA |
| Street Address 2 Of The Provider | SUITE 400 |
| City Of The Provider | EAST HARTFORD |
| Zip Code Of The Provider | 06108 |
| State Code Of The Provider | CT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 192 |
| Number Of Services | 18674 |
| Number Of Medicare Beneficiaries | 3499 |
| Total Submitted Charge Amount | 1073029.59 |
| Total Medicare Allowed Amount | 245817.33 |
| Total Medicare Payment Amount | 185750.89 |
| Total Medicare Standardized Payment Amount | 177803.07 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 13391 |
| Number Of Medicare Beneficiaries With Drug Services | 149 |
| Total Drug Submitted ChargeAmount | 41143 |
| Total Drug Medicare AllowedAmount | 2671.91 |
| Total Drug Medicare PaymentAmount | 2094.74 |
| Total Drug Medicare Standardized Payment Amount | 2094.74 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 189 |
| Number Of Medical Services | 5283 |
| Number Of Medicare Beneficiaries With Medical Services | 3499 |
| Total Medical Submitted Charge Amount | 1031886.59 |
| Total Medical Medicare Allowed Amount | 243145.42 |
| Total Medical Medicare Payment Amount | 183656.15 |
| Total Medical Medicare Standardized Payment Amount | 175708.33 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 591 |
| Number Of Beneficiaries Age 65 to 74 | 1148 |
| Number Of Beneficiaries Age 75 to 84 | 1001 |
| Number Of Beneficiaries Age Greater 84 | 759 |
| Number Of Female Beneficiaries | 2181 |
| Number Of Male Beneficiaries | 1318 |
| Number Of Non Hispanic White Beneficiaries | 2997 |
| Number Of Black or African American Beneficiaries | 133 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 286 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2237 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1262 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6959 |