| National Provider Identifier [NPI]: | 1275743627 |
| Last Name Of The Provider | MAHAJAN |
| First Name Of The Provider | SAJAN |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4001 FAIR RIDGE DRIVE |
| Street Address 2 Of The Provider | SUITE 103 |
| City Of The Provider | FAIRFAX |
| Zip Code Of The Provider | 220332917 |
| 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 | 186 |
| Number Of Services | 4739 |
| Number Of Medicare Beneficiaries | 2641 |
| Total Submitted Charge Amount | 702144.92 |
| Total Medicare Allowed Amount | 180894.18 |
| Total Medicare Payment Amount | 137298.16 |
| Total Medicare Standardized Payment Amount | 142832.82 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 746 |
| Number Of Medicare Beneficiaries With Drug Services | 40 |
| Total Drug Submitted ChargeAmount | 1530.92 |
| Total Drug Medicare AllowedAmount | 641.33 |
| Total Drug Medicare PaymentAmount | 500.38 |
| Total Drug Medicare Standardized Payment Amount | 500.38 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 183 |
| Number Of Medical Services | 3993 |
| Number Of Medicare Beneficiaries With Medical Services | 2641 |
| Total Medical Submitted Charge Amount | 700614 |
| Total Medical Medicare Allowed Amount | 180252.85 |
| Total Medical Medicare Payment Amount | 136797.78 |
| Total Medical Medicare Standardized Payment Amount | 142332.44 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 399 |
| Number Of Beneficiaries Age 65 to 74 | 1103 |
| Number Of Beneficiaries Age 75 to 84 | 762 |
| Number Of Beneficiaries Age Greater 84 | 377 |
| Number Of Female Beneficiaries | 1785 |
| Number Of Male Beneficiaries | 856 |
| Number Of Non Hispanic White Beneficiaries | 1837 |
| Number Of Black or African American Beneficiaries | 659 |
| Number Of AsianPacific Islander Beneficiaries | 54 |
| Number Of Hispanic Beneficiaries | 58 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2198 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 443 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.5328 |