| National Provider Identifier [NPI]: | 1215114384 |
| Last Name Of The Provider | TUMKUR |
| First Name Of The Provider | SHIVAPRAKASH |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 550 PEACHTREE ST NW |
| Street Address 2 Of The Provider | DEPARTMENT OF RADIOLOGY |
| City Of The Provider | ATLANTA |
| Zip Code Of The Provider | 303081375 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 104 |
| Number Of Services | 5958 |
| Number Of Medicare Beneficiaries | 3721 |
| Total Submitted Charge Amount | 1037974 |
| Total Medicare Allowed Amount | 212357.68 |
| Total Medicare Payment Amount | 164639.33 |
| Total Medicare Standardized Payment Amount | 167357.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 104 |
| Number Of Medical Services | 5958 |
| Number Of Medicare Beneficiaries With Medical Services | 3721 |
| Total Medical Submitted Charge Amount | 1037974 |
| Total Medical Medicare Allowed Amount | 212357.68 |
| Total Medical Medicare Payment Amount | 164639.33 |
| Total Medical Medicare Standardized Payment Amount | 167357.31 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 843 |
| Number Of Beneficiaries Age 65 to 74 | 1131 |
| Number Of Beneficiaries Age 75 to 84 | 1069 |
| Number Of Beneficiaries Age Greater 84 | 678 |
| Number Of Female Beneficiaries | 2229 |
| Number Of Male Beneficiaries | 1492 |
| Number Of Non Hispanic White Beneficiaries | 2833 |
| Number Of Black or African American Beneficiaries | 726 |
| Number Of AsianPacific Islander Beneficiaries | 36 |
| Number Of Hispanic Beneficiaries | 89 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2711 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1010 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 50 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 2.1296 |