| National Provider Identifier [NPI]: | 1306824511 |
| Last Name Of The Provider | DIXIT |
| First Name Of The Provider | PARESH |
| 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 | 12251 S. 80TH AVE |
| Street Address 2 Of The Provider | PALOS COMMUNITY HOSPITAL |
| City Of The Provider | PALOS HEIGHTS |
| Zip Code Of The Provider | 60463 |
| 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 | 113 |
| Number Of Services | 16731 |
| Number Of Medicare Beneficiaries | 2215 |
| Total Submitted Charge Amount | 491945.12 |
| Total Medicare Allowed Amount | 437522.1 |
| Total Medicare Payment Amount | 340373.39 |
| Total Medicare Standardized Payment Amount | 365596.46 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 11829 |
| Number Of Medicare Beneficiaries With Drug Services | 140 |
| Total Drug Submitted ChargeAmount | 14185.91 |
| Total Drug Medicare AllowedAmount | 3525.58 |
| Total Drug Medicare PaymentAmount | 2715.67 |
| Total Drug Medicare Standardized Payment Amount | 2715.67 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 109 |
| Number Of Medical Services | 4902 |
| Number Of Medicare Beneficiaries With Medical Services | 2215 |
| Total Medical Submitted Charge Amount | 477759.21 |
| Total Medical Medicare Allowed Amount | 433996.52 |
| Total Medical Medicare Payment Amount | 337657.72 |
| Total Medical Medicare Standardized Payment Amount | 362880.79 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 243 |
| Number Of Beneficiaries Age 65 to 74 | 959 |
| Number Of Beneficiaries Age 75 to 84 | 689 |
| Number Of Beneficiaries Age Greater 84 | 324 |
| Number Of Female Beneficiaries | 1466 |
| Number Of Male Beneficiaries | 749 |
| Number Of Non Hispanic White Beneficiaries | 2068 |
| Number Of Black or African American Beneficiaries | 49 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 48 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1933 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 282 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 50 |
| Percent Of With Hypertension | 61 |
| Percent Of With Ischemic Heart Disease | 27 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.071 |