| National Provider Identifier [NPI]: | 1760672026 |
| Last Name Of The Provider | HAQUE |
| First Name Of The Provider | AMER |
| 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 | 3024 BUSINESS PARK CIR |
| Street Address 2 Of The Provider | |
| City Of The Provider | GOODLETTSVILLE |
| Zip Code Of The Provider | 370723132 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 214 |
| Number Of Services | 12837 |
| Number Of Medicare Beneficiaries | 4071 |
| Total Submitted Charge Amount | 1310726.24 |
| Total Medicare Allowed Amount | 259689.36 |
| Total Medicare Payment Amount | 198551.25 |
| Total Medicare Standardized Payment Amount | 216078.87 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 6587 |
| Number Of Medicare Beneficiaries With Drug Services | 97 |
| Total Drug Submitted ChargeAmount | 4836.9 |
| Total Drug Medicare AllowedAmount | 1897.2 |
| Total Drug Medicare PaymentAmount | 1457.18 |
| Total Drug Medicare Standardized Payment Amount | 1457.18 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 208 |
| Number Of Medical Services | 6250 |
| Number Of Medicare Beneficiaries With Medical Services | 4071 |
| Total Medical Submitted Charge Amount | 1305889.34 |
| Total Medical Medicare Allowed Amount | 257792.16 |
| Total Medical Medicare Payment Amount | 197094.07 |
| Total Medical Medicare Standardized Payment Amount | 214621.69 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 797 |
| Number Of Beneficiaries Age 65 to 74 | 1587 |
| Number Of Beneficiaries Age 75 to 84 | 1125 |
| Number Of Beneficiaries Age Greater 84 | 562 |
| Number Of Female Beneficiaries | 2415 |
| Number Of Male Beneficiaries | 1656 |
| Number Of Non Hispanic White Beneficiaries | 3556 |
| Number Of Black or African American Beneficiaries | 453 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 21 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3136 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 935 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7285 |