| National Provider Identifier [NPI]: | 1356557763 |
| Last Name Of The Provider | DULAI |
| First Name Of The Provider | HARJOT |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 401 LIBERTY AVE SUITE 2000 |
| Street Address 2 Of The Provider | FOUNDATION RADIOLOGY GROUP |
| City Of The Provider | PITTSBURGH |
| Zip Code Of The Provider | 15222 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 113 |
| Number Of Services | 6221 |
| Number Of Medicare Beneficiaries | 4238 |
| Total Submitted Charge Amount | 554810.55 |
| Total Medicare Allowed Amount | 166878.16 |
| Total Medicare Payment Amount | 127366.5 |
| Total Medicare Standardized Payment Amount | 125981.68 |
| 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 | 113 |
| Number Of Medical Services | 6221 |
| Number Of Medicare Beneficiaries With Medical Services | 4238 |
| Total Medical Submitted Charge Amount | 554810.55 |
| Total Medical Medicare Allowed Amount | 166878.16 |
| Total Medical Medicare Payment Amount | 127366.5 |
| Total Medical Medicare Standardized Payment Amount | 125981.68 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1094 |
| Number Of Beneficiaries Age 65 to 74 | 1143 |
| Number Of Beneficiaries Age 75 to 84 | 1090 |
| Number Of Beneficiaries Age Greater 84 | 911 |
| Number Of Female Beneficiaries | 2374 |
| Number Of Male Beneficiaries | 1864 |
| Number Of Non Hispanic White Beneficiaries | 3715 |
| Number Of Black or African American Beneficiaries | 403 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 77 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2380 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1858 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 42 |
| Percent Of With Depression | 40 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 15 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.1247 |