| National Provider Identifier [NPI]: | 1144281619 |
| Last Name Of The Provider | MEHTA |
| First Name Of The Provider | RAHUL |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1901 MEDI PARK |
| Street Address 2 Of The Provider | STE 2050 |
| City Of The Provider | AMARILLO |
| Zip Code Of The Provider | 791062110 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 196 |
| Number Of Services | 9022 |
| Number Of Medicare Beneficiaries | 4756 |
| Total Submitted Charge Amount | 1245741.6 |
| Total Medicare Allowed Amount | 250241.2 |
| Total Medicare Payment Amount | 191309.5 |
| Total Medicare Standardized Payment Amount | 203173.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2082 |
| Number Of Medicare Beneficiaries With Drug Services | 51 |
| Total Drug Submitted ChargeAmount | 5607.6 |
| Total Drug Medicare AllowedAmount | 1308.34 |
| Total Drug Medicare PaymentAmount | 1002.7 |
| Total Drug Medicare Standardized Payment Amount | 1002.7 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 194 |
| Number Of Medical Services | 6940 |
| Number Of Medicare Beneficiaries With Medical Services | 4756 |
| Total Medical Submitted Charge Amount | 1240134 |
| Total Medical Medicare Allowed Amount | 248932.86 |
| Total Medical Medicare Payment Amount | 190306.8 |
| Total Medical Medicare Standardized Payment Amount | 202171.14 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 682 |
| Number Of Beneficiaries Age 65 to 74 | 1614 |
| Number Of Beneficiaries Age 75 to 84 | 1637 |
| Number Of Beneficiaries Age Greater 84 | 823 |
| Number Of Female Beneficiaries | 2909 |
| Number Of Male Beneficiaries | 1847 |
| Number Of Non Hispanic White Beneficiaries | 3912 |
| Number Of Black or African American Beneficiaries | 140 |
| Number Of AsianPacific Islander Beneficiaries | 22 |
| Number Of Hispanic Beneficiaries | 642 |
| Number Of American Indian Alaska Native Beneficiaries | 23 |
| Number Of Beneficiaries With Race Not Else where Classified | 17 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3635 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1121 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5753 |