| National Provider Identifier [NPI]: | 1700850559 |
| Last Name Of The Provider | GOPI |
| First Name Of The Provider | RAMESH |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 20660 STEVENS CREEK BLVD |
| Street Address 2 Of The Provider | SUITE 333 |
| City Of The Provider | CUPERTINO |
| Zip Code Of The Provider | 950142120 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 230 |
| Number Of Services | 12764 |
| Number Of Medicare Beneficiaries | 5770 |
| Total Submitted Charge Amount | 2014953.09 |
| Total Medicare Allowed Amount | 454289.52 |
| Total Medicare Payment Amount | 344552.07 |
| Total Medicare Standardized Payment Amount | 311064.97 |
| 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 | 230 |
| Number Of Medical Services | 12764 |
| Number Of Medicare Beneficiaries With Medical Services | 5770 |
| Total Medical Submitted Charge Amount | 2014953.09 |
| Total Medical Medicare Allowed Amount | 454289.52 |
| Total Medical Medicare Payment Amount | 344552.07 |
| Total Medical Medicare Standardized Payment Amount | 311064.97 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 421 |
| Number Of Beneficiaries Age 65 to 74 | 1940 |
| Number Of Beneficiaries Age 75 to 84 | 1871 |
| Number Of Beneficiaries Age Greater 84 | 1538 |
| Number Of Female Beneficiaries | 3701 |
| Number Of Male Beneficiaries | 2069 |
| Number Of Non Hispanic White Beneficiaries | 4255 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 778 |
| Number Of Hispanic Beneficiaries | 437 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 167 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4594 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1176 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 32 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.4553 |