| National Provider Identifier [NPI]: | 1841275815 |
| Last Name Of The Provider | FALLAH |
| First Name Of The Provider | JULIET |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 430 WARRENVILLE RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | LISLE |
| Zip Code Of The Provider | 60532 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 131 |
| Number Of Services | 68380 |
| Number Of Medicare Beneficiaries | 2692 |
| Total Submitted Charge Amount | 2835607 |
| Total Medicare Allowed Amount | 838668.55 |
| Total Medicare Payment Amount | 639406.16 |
| Total Medicare Standardized Payment Amount | 617202.45 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 64274 |
| Number Of Medicare Beneficiaries With Drug Services | 720 |
| Total Drug Submitted ChargeAmount | 130120 |
| Total Drug Medicare AllowedAmount | 13751.64 |
| Total Drug Medicare PaymentAmount | 10719.48 |
| Total Drug Medicare Standardized Payment Amount | 10719.48 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 126 |
| Number Of Medical Services | 4106 |
| Number Of Medicare Beneficiaries With Medical Services | 2690 |
| Total Medical Submitted Charge Amount | 2705487 |
| Total Medical Medicare Allowed Amount | 824916.91 |
| Total Medical Medicare Payment Amount | 628686.68 |
| Total Medical Medicare Standardized Payment Amount | 606482.97 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 163 |
| Number Of Beneficiaries Age 65 to 74 | 1314 |
| Number Of Beneficiaries Age 75 to 84 | 875 |
| Number Of Beneficiaries Age Greater 84 | 340 |
| Number Of Female Beneficiaries | 1552 |
| Number Of Male Beneficiaries | 1140 |
| Number Of Non Hispanic White Beneficiaries | 2401 |
| Number Of Black or African American Beneficiaries | 68 |
| Number Of AsianPacific Islander Beneficiaries | 108 |
| Number Of Hispanic Beneficiaries | 74 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2509 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 183 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.2182 |