| National Provider Identifier [NPI]: | 1538243555 |
| Last Name Of The Provider | RATHUR |
| First Name Of The Provider | SHARIK |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8791 CONFERENCE DR |
| Street Address 2 Of The Provider | SUITE 1 |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339195822 |
| 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 | 262 |
| Number Of Services | 34396 |
| Number Of Medicare Beneficiaries | 4588 |
| Total Submitted Charge Amount | 1428103.64 |
| Total Medicare Allowed Amount | 590476.35 |
| Total Medicare Payment Amount | 457032.78 |
| Total Medicare Standardized Payment Amount | 442394.69 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 27883 |
| Number Of Medicare Beneficiaries With Drug Services | 337 |
| Total Drug Submitted ChargeAmount | 87387.16 |
| Total Drug Medicare AllowedAmount | 9338.21 |
| Total Drug Medicare PaymentAmount | 7257.94 |
| Total Drug Medicare Standardized Payment Amount | 7257.94 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 253 |
| Number Of Medical Services | 6513 |
| Number Of Medicare Beneficiaries With Medical Services | 4584 |
| Total Medical Submitted Charge Amount | 1340716.48 |
| Total Medical Medicare Allowed Amount | 581138.14 |
| Total Medical Medicare Payment Amount | 449774.84 |
| Total Medical Medicare Standardized Payment Amount | 435136.75 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 571 |
| Number Of Beneficiaries Age 65 to 74 | 1574 |
| Number Of Beneficiaries Age 75 to 84 | 1566 |
| Number Of Beneficiaries Age Greater 84 | 877 |
| Number Of Female Beneficiaries | 2453 |
| Number Of Male Beneficiaries | 2135 |
| Number Of Non Hispanic White Beneficiaries | 4139 |
| Number Of Black or African American Beneficiaries | 152 |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | 214 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 57 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3819 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 769 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.5884 |