| National Provider Identifier [NPI]: | 1578685673 |
| Last Name Of The Provider | KADAKIA |
| First Name Of The Provider | SAUMIL |
| 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 | 16001 W 9 MILE RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | SOUTHFIELD |
| Zip Code Of The Provider | 480754818 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 221 |
| Number Of Services | 26047 |
| Number Of Medicare Beneficiaries | 3639 |
| Total Submitted Charge Amount | 1407843.94 |
| Total Medicare Allowed Amount | 425606.18 |
| Total Medicare Payment Amount | 331828.06 |
| Total Medicare Standardized Payment Amount | 338425.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 20526 |
| Number Of Medicare Beneficiaries With Drug Services | 232 |
| Total Drug Submitted ChargeAmount | 37968.44 |
| Total Drug Medicare AllowedAmount | 6266.79 |
| Total Drug Medicare PaymentAmount | 4858.24 |
| Total Drug Medicare Standardized Payment Amount | 4858.24 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 215 |
| Number Of Medical Services | 5521 |
| Number Of Medicare Beneficiaries With Medical Services | 3639 |
| Total Medical Submitted Charge Amount | 1369875.5 |
| Total Medical Medicare Allowed Amount | 419339.39 |
| Total Medical Medicare Payment Amount | 326969.82 |
| Total Medical Medicare Standardized Payment Amount | 333567.04 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 309 |
| Number Of Beneficiaries Age 65 to 74 | 1617 |
| Number Of Beneficiaries Age 75 to 84 | 1182 |
| Number Of Beneficiaries Age Greater 84 | 531 |
| Number Of Female Beneficiaries | 2311 |
| Number Of Male Beneficiaries | 1328 |
| Number Of Non Hispanic White Beneficiaries | 3221 |
| Number Of Black or African American Beneficiaries | 80 |
| Number Of AsianPacific Islander Beneficiaries | 38 |
| Number Of Hispanic Beneficiaries | 201 |
| Number Of American Indian Alaska Native Beneficiaries | 69 |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3265 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 374 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6151 |