| National Provider Identifier [NPI]: | 1790747921 |
| Last Name Of The Provider | ALIKHAN |
| First Name Of The Provider | MIR |
| Middle Initial Of The Provider | Z |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2722 OSLER BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BRYAN |
| Zip Code Of The Provider | 778022517 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 169 |
| Number Of Services | 9851 |
| Number Of Medicare Beneficiaries | 4359 |
| Total Submitted Charge Amount | 1232930 |
| Total Medicare Allowed Amount | 276103.17 |
| Total Medicare Payment Amount | 211660.68 |
| Total Medicare Standardized Payment Amount | 224487.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2848 |
| Number Of Medicare Beneficiaries With Drug Services | 52 |
| Total Drug Submitted ChargeAmount | 3300 |
| Total Drug Medicare AllowedAmount | 917.47 |
| Total Drug Medicare PaymentAmount | 719.39 |
| Total Drug Medicare Standardized Payment Amount | 719.39 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 167 |
| Number Of Medical Services | 7003 |
| Number Of Medicare Beneficiaries With Medical Services | 4359 |
| Total Medical Submitted Charge Amount | 1229630 |
| Total Medical Medicare Allowed Amount | 275185.7 |
| Total Medical Medicare Payment Amount | 210941.29 |
| Total Medical Medicare Standardized Payment Amount | 223768.29 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 727 |
| Number Of Beneficiaries Age 65 to 74 | 1550 |
| Number Of Beneficiaries Age 75 to 84 | 1313 |
| Number Of Beneficiaries Age Greater 84 | 769 |
| Number Of Female Beneficiaries | 2722 |
| Number Of Male Beneficiaries | 1637 |
| Number Of Non Hispanic White Beneficiaries | 3285 |
| Number Of Black or African American Beneficiaries | 677 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 359 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3128 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1231 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6096 |