| National Provider Identifier [NPI]: | 1467492355 |
| Last Name Of The Provider | KAMEL |
| First Name Of The Provider | IHAB |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD PHD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 601 NORTH CAROLINE ST |
| Street Address 2 Of The Provider | JHOC RADIOLOGY RM 3235A |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 21287 |
| 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 | 63 |
| Number Of Services | 2009 |
| Number Of Medicare Beneficiaries | 1343 |
| Total Submitted Charge Amount | 788098.32 |
| Total Medicare Allowed Amount | 200951.48 |
| Total Medicare Payment Amount | 150834.26 |
| Total Medicare Standardized Payment Amount | 146298.32 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 41 |
| Number Of Medicare Beneficiaries With Drug Services | 40 |
| Total Drug Submitted ChargeAmount | 2842.42 |
| Total Drug Medicare AllowedAmount | 36.71 |
| Total Drug Medicare PaymentAmount | 28.69 |
| Total Drug Medicare Standardized Payment Amount | 28.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 61 |
| Number Of Medical Services | 1968 |
| Number Of Medicare Beneficiaries With Medical Services | 1343 |
| Total Medical Submitted Charge Amount | 785255.9 |
| Total Medical Medicare Allowed Amount | 200914.77 |
| Total Medical Medicare Payment Amount | 150805.57 |
| Total Medical Medicare Standardized Payment Amount | 146269.63 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 297 |
| Number Of Beneficiaries Age 65 to 74 | 669 |
| Number Of Beneficiaries Age 75 to 84 | 318 |
| Number Of Beneficiaries Age Greater 84 | 59 |
| Number Of Female Beneficiaries | 621 |
| Number Of Male Beneficiaries | 722 |
| Number Of Non Hispanic White Beneficiaries | 885 |
| Number Of Black or African American Beneficiaries | 366 |
| Number Of AsianPacific Islander Beneficiaries | 36 |
| Number Of Hispanic Beneficiaries | 28 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1071 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 272 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 26 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 34 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.9275 |