| National Provider Identifier [NPI]: | 1669664603 |
| Last Name Of The Provider | BOHSALI |
| First Name Of The Provider | KAREEM |
| Middle Initial Of The Provider | I |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1490 SE MAGNOLIA AVE. EXT. |
| Street Address 2 Of The Provider | |
| City Of The Provider | OCALA |
| Zip Code Of The Provider | 344714443 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 269 |
| Number Of Services | 20005 |
| Number Of Medicare Beneficiaries | 5708 |
| Total Submitted Charge Amount | 1347869.87 |
| Total Medicare Allowed Amount | 396211.98 |
| Total Medicare Payment Amount | 291163.97 |
| Total Medicare Standardized Payment Amount | 293935 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 9959 |
| Number Of Medicare Beneficiaries With Drug Services | 117 |
| Total Drug Submitted ChargeAmount | 26797.5 |
| Total Drug Medicare AllowedAmount | 2717.65 |
| Total Drug Medicare PaymentAmount | 2096.62 |
| Total Drug Medicare Standardized Payment Amount | 2096.62 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 265 |
| Number Of Medical Services | 10046 |
| Number Of Medicare Beneficiaries With Medical Services | 5707 |
| Total Medical Submitted Charge Amount | 1321072.37 |
| Total Medical Medicare Allowed Amount | 393494.33 |
| Total Medical Medicare Payment Amount | 289067.35 |
| Total Medical Medicare Standardized Payment Amount | 291838.38 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 840 |
| Number Of Beneficiaries Age 65 to 74 | 1835 |
| Number Of Beneficiaries Age 75 to 84 | 1954 |
| Number Of Beneficiaries Age Greater 84 | 1079 |
| Number Of Female Beneficiaries | 3095 |
| Number Of Male Beneficiaries | 2613 |
| Number Of Non Hispanic White Beneficiaries | 4903 |
| Number Of Black or African American Beneficiaries | 456 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 264 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 55 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4338 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1370 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.9399 |