| National Provider Identifier [NPI]: | 1235112152 |
| Last Name Of The Provider | MAHAL |
| First Name Of The Provider | RAVINDER |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 800 MEADOWS RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BOCA RATON |
| Zip Code Of The Provider | 334862304 |
| 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 | 192 |
| Number Of Services | 17620 |
| Number Of Medicare Beneficiaries | 5759 |
| Total Submitted Charge Amount | 1477600.94 |
| Total Medicare Allowed Amount | 662813.72 |
| Total Medicare Payment Amount | 543435 |
| Total Medicare Standardized Payment Amount | 525376.92 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 7586 |
| Number Of Medicare Beneficiaries With Drug Services | 152 |
| Total Drug Submitted ChargeAmount | 6540.94 |
| Total Drug Medicare AllowedAmount | 3293.19 |
| Total Drug Medicare PaymentAmount | 2519.23 |
| Total Drug Medicare Standardized Payment Amount | 2519.23 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 188 |
| Number Of Medical Services | 10034 |
| Number Of Medicare Beneficiaries With Medical Services | 5758 |
| Total Medical Submitted Charge Amount | 1471060 |
| Total Medical Medicare Allowed Amount | 659520.53 |
| Total Medical Medicare Payment Amount | 540915.77 |
| Total Medical Medicare Standardized Payment Amount | 522857.69 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 205 |
| Number Of Beneficiaries Age 65 to 74 | 2013 |
| Number Of Beneficiaries Age 75 to 84 | 2176 |
| Number Of Beneficiaries Age Greater 84 | 1365 |
| Number Of Female Beneficiaries | 4363 |
| Number Of Male Beneficiaries | 1396 |
| Number Of Non Hispanic White Beneficiaries | 5398 |
| Number Of Black or African American Beneficiaries | 99 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 155 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 77 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5430 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 329 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 20 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4717 |