| National Provider Identifier [NPI]: | 1396938148 |
| Last Name Of The Provider | CHAUDHARI |
| First Name Of The Provider | RAKESH |
| 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 | 3315 NOBLE DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | WOODRIDGE |
| Zip Code Of The Provider | 605171445 |
| 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 | 189 |
| Number Of Services | 8101 |
| Number Of Medicare Beneficiaries | 4669 |
| Total Submitted Charge Amount | 1011152 |
| Total Medicare Allowed Amount | 262266.01 |
| Total Medicare Payment Amount | 197871.87 |
| Total Medicare Standardized Payment Amount | 192020.66 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 189 |
| Number Of Medical Services | 8101 |
| Number Of Medicare Beneficiaries With Medical Services | 4669 |
| Total Medical Submitted Charge Amount | 1011152 |
| Total Medical Medicare Allowed Amount | 262266.01 |
| Total Medical Medicare Payment Amount | 197871.87 |
| Total Medical Medicare Standardized Payment Amount | 192020.66 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 768 |
| Number Of Beneficiaries Age 65 to 74 | 1547 |
| Number Of Beneficiaries Age 75 to 84 | 1417 |
| Number Of Beneficiaries Age Greater 84 | 937 |
| Number Of Female Beneficiaries | 2859 |
| Number Of Male Beneficiaries | 1810 |
| Number Of Non Hispanic White Beneficiaries | 3868 |
| Number Of Black or African American Beneficiaries | 478 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 237 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3499 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1170 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9393 |