| National Provider Identifier [NPI]: | 1487861720 |
| Last Name Of The Provider | GUPTA |
| First Name Of The Provider | ATUL |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 329 WICKHAM GLEN DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | RICHMOND |
| Zip Code Of The Provider | 232386161 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 118 |
| Number Of Services | 7676 |
| Number Of Medicare Beneficiaries | 5316 |
| Total Submitted Charge Amount | 789894.33 |
| Total Medicare Allowed Amount | 233180.94 |
| Total Medicare Payment Amount | 175640.48 |
| Total Medicare Standardized Payment Amount | 179065.99 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 118 |
| Number Of Medical Services | 7676 |
| Number Of Medicare Beneficiaries With Medical Services | 5316 |
| Total Medical Submitted Charge Amount | 789894.33 |
| Total Medical Medicare Allowed Amount | 233180.94 |
| Total Medical Medicare Payment Amount | 175640.48 |
| Total Medical Medicare Standardized Payment Amount | 179065.99 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1564 |
| Number Of Beneficiaries Age 65 to 74 | 1409 |
| Number Of Beneficiaries Age 75 to 84 | 1282 |
| Number Of Beneficiaries Age Greater 84 | 1061 |
| Number Of Female Beneficiaries | 3033 |
| Number Of Male Beneficiaries | 2283 |
| Number Of Non Hispanic White Beneficiaries | 4600 |
| Number Of Black or African American Beneficiaries | 564 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 95 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2914 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2402 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 40 |
| Percent Of With Depression | 41 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 15 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.0729 |