| National Provider Identifier [NPI]: | 1578550984 |
| Last Name Of The Provider | SAMTANI |
| First Name Of The Provider | SAMEER |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 20410 OBSERVATION DR |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | GERMANTOWN |
| Zip Code Of The Provider | 208764000 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 212 |
| Number Of Services | 18318 |
| Number Of Medicare Beneficiaries | 5463 |
| Total Submitted Charge Amount | 2355544.62 |
| Total Medicare Allowed Amount | 559177.65 |
| Total Medicare Payment Amount | 430598.23 |
| Total Medicare Standardized Payment Amount | 394824.18 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6030 |
| Number Of Medicare Beneficiaries With Drug Services | 114 |
| Total Drug Submitted ChargeAmount | 10230 |
| Total Drug Medicare AllowedAmount | 3120.9 |
| Total Drug Medicare PaymentAmount | 2398.7 |
| Total Drug Medicare Standardized Payment Amount | 2398.7 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 210 |
| Number Of Medical Services | 12288 |
| Number Of Medicare Beneficiaries With Medical Services | 5462 |
| Total Medical Submitted Charge Amount | 2345314.62 |
| Total Medical Medicare Allowed Amount | 556056.75 |
| Total Medical Medicare Payment Amount | 428199.53 |
| Total Medical Medicare Standardized Payment Amount | 392425.48 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 800 |
| Number Of Beneficiaries Age 65 to 74 | 1708 |
| Number Of Beneficiaries Age 75 to 84 | 1632 |
| Number Of Beneficiaries Age Greater 84 | 1323 |
| Number Of Female Beneficiaries | 3320 |
| Number Of Male Beneficiaries | 2143 |
| Number Of Non Hispanic White Beneficiaries | 3476 |
| Number Of Black or African American Beneficiaries | 833 |
| Number Of AsianPacific Islander Beneficiaries | 631 |
| Number Of Hispanic Beneficiaries | 379 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3811 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1652 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.657 |