| National Provider Identifier [NPI]: | 1114975281 |
| Last Name Of The Provider | BHATIA |
| First Name Of The Provider | MANOJ |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 801 E DIXIE AVE |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | LEESBURG |
| Zip Code Of The Provider | 347487601 |
| 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 | 238 |
| Number Of Services | 59321 |
| Number Of Medicare Beneficiaries | 8721 |
| Total Submitted Charge Amount | 2842390 |
| Total Medicare Allowed Amount | 1344977.73 |
| Total Medicare Payment Amount | 1057020.81 |
| Total Medicare Standardized Payment Amount | 1076510.9 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 46100 |
| Number Of Medicare Beneficiaries With Drug Services | 839 |
| Total Drug Submitted ChargeAmount | 138532 |
| Total Drug Medicare AllowedAmount | 19337.85 |
| Total Drug Medicare PaymentAmount | 15056.99 |
| Total Drug Medicare Standardized Payment Amount | 15056.99 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 230 |
| Number Of Medical Services | 13221 |
| Number Of Medicare Beneficiaries With Medical Services | 8713 |
| Total Medical Submitted Charge Amount | 2703858 |
| Total Medical Medicare Allowed Amount | 1325639.88 |
| Total Medical Medicare Payment Amount | 1041963.82 |
| Total Medical Medicare Standardized Payment Amount | 1061453.91 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 448 |
| Number Of Beneficiaries Age 65 to 74 | 3714 |
| Number Of Beneficiaries Age 75 to 84 | 3388 |
| Number Of Beneficiaries Age Greater 84 | 1171 |
| Number Of Female Beneficiaries | 4958 |
| Number Of Male Beneficiaries | 3763 |
| Number Of Non Hispanic White Beneficiaries | 8194 |
| Number Of Black or African American Beneficiaries | 269 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 141 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 71 |
| Number Of Beneficiaries With Medicare Only Entitlement | 8013 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 708 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.4805 |