| National Provider Identifier [NPI]: | 1861420861 |
| Last Name Of The Provider | SUFI |
| First Name Of The Provider | AJAY |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 18111 PRINCE PHILIP DR |
| Street Address 2 Of The Provider | T-20 |
| City Of The Provider | OLNEY |
| Zip Code Of The Provider | 208321513 |
| 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 | 136 |
| Number Of Services | 14893 |
| Number Of Medicare Beneficiaries | 3105 |
| Total Submitted Charge Amount | 1380595.93 |
| Total Medicare Allowed Amount | 561178.56 |
| Total Medicare Payment Amount | 469458.4 |
| Total Medicare Standardized Payment Amount | 418092.24 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 9848 |
| Number Of Medicare Beneficiaries With Drug Services | 99 |
| Total Drug Submitted ChargeAmount | 2668.04 |
| Total Drug Medicare AllowedAmount | 2063.04 |
| Total Drug Medicare PaymentAmount | 1534.15 |
| Total Drug Medicare Standardized Payment Amount | 1534.15 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 132 |
| Number Of Medical Services | 5045 |
| Number Of Medicare Beneficiaries With Medical Services | 3105 |
| Total Medical Submitted Charge Amount | 1377927.89 |
| Total Medical Medicare Allowed Amount | 559115.52 |
| Total Medical Medicare Payment Amount | 467924.25 |
| Total Medical Medicare Standardized Payment Amount | 416558.09 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 411 |
| Number Of Beneficiaries Age 65 to 74 | 1569 |
| Number Of Beneficiaries Age 75 to 84 | 834 |
| Number Of Beneficiaries Age Greater 84 | 291 |
| Number Of Female Beneficiaries | 2504 |
| Number Of Male Beneficiaries | 601 |
| Number Of Non Hispanic White Beneficiaries | 1864 |
| Number Of Black or African American Beneficiaries | 779 |
| Number Of AsianPacific Islander Beneficiaries | 182 |
| Number Of Hispanic Beneficiaries | 194 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2538 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 567 |
| Percent Of With Atrial Fibrillation | 6 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 27 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0408 |