| National Provider Identifier [NPI]: | 1407067531 |
| Last Name Of The Provider | MALDE |
| First Name Of The Provider | SACHIT |
| 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 | 22250 PROVIDENCE DRIVE |
| Street Address 2 Of The Provider | SUITE 207 |
| City Of The Provider | SOUTHFIELD |
| Zip Code Of The Provider | 480756210 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 199 |
| Number Of Services | 5666 |
| Number Of Medicare Beneficiaries | 3641 |
| Total Submitted Charge Amount | 454951.25 |
| Total Medicare Allowed Amount | 176387.94 |
| Total Medicare Payment Amount | 131371.75 |
| Total Medicare Standardized Payment Amount | 127931.58 |
| 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 | 199 |
| Number Of Medical Services | 5666 |
| Number Of Medicare Beneficiaries With Medical Services | 3641 |
| Total Medical Submitted Charge Amount | 454951.25 |
| Total Medical Medicare Allowed Amount | 176387.94 |
| Total Medical Medicare Payment Amount | 131371.75 |
| Total Medical Medicare Standardized Payment Amount | 127931.58 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 832 |
| Number Of Beneficiaries Age 65 to 74 | 1100 |
| Number Of Beneficiaries Age 75 to 84 | 992 |
| Number Of Beneficiaries Age Greater 84 | 717 |
| Number Of Female Beneficiaries | 2247 |
| Number Of Male Beneficiaries | 1394 |
| Number Of Non Hispanic White Beneficiaries | 2123 |
| Number Of Black or African American Beneficiaries | 1398 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 37 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2527 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1114 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 29 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 48 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 53 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 2.3183 |