| National Provider Identifier [NPI]: | 1801007646 |
| Last Name Of The Provider | KSAR |
| First Name Of The Provider | JAMAL |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8791 CONFERENCE DR |
| Street Address 2 Of The Provider | SUITE 1 |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339195822 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 252 |
| Number Of Services | 38216.5 |
| Number Of Medicare Beneficiaries | 5434 |
| Total Submitted Charge Amount | 1517752.21 |
| Total Medicare Allowed Amount | 602719.81 |
| Total Medicare Payment Amount | 466866.1 |
| Total Medicare Standardized Payment Amount | 450263.97 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 30361.5 |
| Number Of Medicare Beneficiaries With Drug Services | 401 |
| Total Drug Submitted ChargeAmount | 95042.72 |
| Total Drug Medicare AllowedAmount | 11129.01 |
| Total Drug Medicare PaymentAmount | 8719.1 |
| Total Drug Medicare Standardized Payment Amount | 8719.1 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 243 |
| Number Of Medical Services | 7855 |
| Number Of Medicare Beneficiaries With Medical Services | 5424 |
| Total Medical Submitted Charge Amount | 1422709.49 |
| Total Medical Medicare Allowed Amount | 591590.8 |
| Total Medical Medicare Payment Amount | 458147 |
| Total Medical Medicare Standardized Payment Amount | 441544.87 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 645 |
| Number Of Beneficiaries Age 65 to 74 | 1831 |
| Number Of Beneficiaries Age 75 to 84 | 1758 |
| Number Of Beneficiaries Age Greater 84 | 1200 |
| Number Of Female Beneficiaries | 2943 |
| Number Of Male Beneficiaries | 2491 |
| Number Of Non Hispanic White Beneficiaries | 4903 |
| Number Of Black or African American Beneficiaries | 175 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 262 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 59 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4515 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 919 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.5527 |