| National Provider Identifier [NPI]: | 1881624013 |
| Last Name Of The Provider | NATH |
| First Name Of The Provider | HRUDAYA |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 619 19TH STREET SOUTH |
| Street Address 2 Of The Provider | |
| City Of The Provider | BIRMINGHAM |
| Zip Code Of The Provider | 35233 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 54 |
| Number Of Services | 15802 |
| Number Of Medicare Beneficiaries | 4237 |
| Total Submitted Charge Amount | 936145 |
| Total Medicare Allowed Amount | 148838.06 |
| Total Medicare Payment Amount | 108309.57 |
| Total Medicare Standardized Payment Amount | 126213.22 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 8266 |
| Number Of Medicare Beneficiaries With Drug Services | 79 |
| Total Drug Submitted ChargeAmount | 8722 |
| Total Drug Medicare AllowedAmount | 1740.2 |
| Total Drug Medicare PaymentAmount | 1207.07 |
| Total Drug Medicare Standardized Payment Amount | 1207.07 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 52 |
| Number Of Medical Services | 7536 |
| Number Of Medicare Beneficiaries With Medical Services | 4237 |
| Total Medical Submitted Charge Amount | 927423 |
| Total Medical Medicare Allowed Amount | 147097.86 |
| Total Medical Medicare Payment Amount | 107102.5 |
| Total Medical Medicare Standardized Payment Amount | 125006.15 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 1284 |
| Number Of Beneficiaries Age 65 to 74 | 1685 |
| Number Of Beneficiaries Age 75 to 84 | 968 |
| Number Of Beneficiaries Age Greater 84 | 300 |
| Number Of Female Beneficiaries | 2072 |
| Number Of Male Beneficiaries | 2165 |
| Number Of Non Hispanic White Beneficiaries | 3092 |
| Number Of Black or African American Beneficiaries | 1069 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 26 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3192 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1045 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 51 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.2737 |