| National Provider Identifier [NPI]: | 1699866509 |
| Last Name Of The Provider | GULATI |
| First Name Of The Provider | RAJESH |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4020 VENOY RD |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | WAYNE |
| Zip Code Of The Provider | 481841869 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 60 |
| Number Of Services | 8193 |
| Number Of Medicare Beneficiaries | 2888 |
| Total Submitted Charge Amount | 897772 |
| Total Medicare Allowed Amount | 361552.8 |
| Total Medicare Payment Amount | 273604.33 |
| Total Medicare Standardized Payment Amount | 266061.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 66 |
| Number Of Medicare Beneficiaries With Drug Services | 19 |
| Total Drug Submitted ChargeAmount | 4708 |
| Total Drug Medicare AllowedAmount | 3424.99 |
| Total Drug Medicare PaymentAmount | 2690.26 |
| Total Drug Medicare Standardized Payment Amount | 2690.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 56 |
| Number Of Medical Services | 8127 |
| Number Of Medicare Beneficiaries With Medical Services | 2888 |
| Total Medical Submitted Charge Amount | 893064 |
| Total Medical Medicare Allowed Amount | 358127.81 |
| Total Medical Medicare Payment Amount | 270914.07 |
| Total Medical Medicare Standardized Payment Amount | 263371.7 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 851 |
| Number Of Beneficiaries Age 65 to 74 | 910 |
| Number Of Beneficiaries Age 75 to 84 | 695 |
| Number Of Beneficiaries Age Greater 84 | 432 |
| Number Of Female Beneficiaries | 1641 |
| Number Of Male Beneficiaries | 1247 |
| Number Of Non Hispanic White Beneficiaries | 1857 |
| Number Of Black or African American Beneficiaries | 861 |
| Number Of AsianPacific Islander Beneficiaries | 68 |
| Number Of Hispanic Beneficiaries | 56 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1721 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1167 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 20 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 48 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 48 |
| Percent Of With Depression | 40 |
| Percent Of With Diabetes | 55 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 70 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 13 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.2408 |