| National Provider Identifier [NPI]: | 1578539557 |
| Last Name Of The Provider | CHAMSUDDIN |
| First Name Of The Provider | ABBAS |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1501 CLAIRMONT RD |
| Street Address 2 Of The Provider | APT 1731 |
| City Of The Provider | DECATUR |
| Zip Code Of The Provider | 300334601 |
| 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 | 230 |
| Number Of Services | 5051 |
| Number Of Medicare Beneficiaries | 3522 |
| Total Submitted Charge Amount | 548788.79 |
| Total Medicare Allowed Amount | 144406.12 |
| Total Medicare Payment Amount | 108657.61 |
| Total Medicare Standardized Payment Amount | 109845.17 |
| 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 | 230 |
| Number Of Medical Services | 5051 |
| Number Of Medicare Beneficiaries With Medical Services | 3522 |
| Total Medical Submitted Charge Amount | 548788.79 |
| Total Medical Medicare Allowed Amount | 144406.12 |
| Total Medical Medicare Payment Amount | 108657.61 |
| Total Medical Medicare Standardized Payment Amount | 109845.17 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 641 |
| Number Of Beneficiaries Age 65 to 74 | 867 |
| Number Of Beneficiaries Age 75 to 84 | 976 |
| Number Of Beneficiaries Age Greater 84 | 1038 |
| Number Of Female Beneficiaries | 2136 |
| Number Of Male Beneficiaries | 1386 |
| Number Of Non Hispanic White Beneficiaries | 2732 |
| Number Of Black or African American Beneficiaries | 420 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| Number Of Hispanic Beneficiaries | 314 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1799 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1723 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 39 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 47 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 41 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 16 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.3087 |