| National Provider Identifier [NPI]: | 1477686806 |
| Last Name Of The Provider | ALI |
| First Name Of The Provider | SYED |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 22 S GREENE ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212011544 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 145 |
| Number Of Services | 6441 |
| Number Of Medicare Beneficiaries | 3832 |
| Total Submitted Charge Amount | 1270882.3 |
| Total Medicare Allowed Amount | 437165.01 |
| Total Medicare Payment Amount | 346035.05 |
| Total Medicare Standardized Payment Amount | 326359.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 93 |
| Number Of Medicare Beneficiaries With Drug Services | 90 |
| Total Drug Submitted ChargeAmount | 3510.75 |
| Total Drug Medicare AllowedAmount | 101.04 |
| Total Drug Medicare PaymentAmount | 77.82 |
| Total Drug Medicare Standardized Payment Amount | 77.82 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 144 |
| Number Of Medical Services | 6348 |
| Number Of Medicare Beneficiaries With Medical Services | 3832 |
| Total Medical Submitted Charge Amount | 1267371.55 |
| Total Medical Medicare Allowed Amount | 437063.97 |
| Total Medical Medicare Payment Amount | 345957.23 |
| Total Medical Medicare Standardized Payment Amount | 326281.8 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 667 |
| Number Of Beneficiaries Age 65 to 74 | 1358 |
| Number Of Beneficiaries Age 75 to 84 | 1079 |
| Number Of Beneficiaries Age Greater 84 | 728 |
| Number Of Female Beneficiaries | 2628 |
| Number Of Male Beneficiaries | 1204 |
| Number Of Non Hispanic White Beneficiaries | 2296 |
| Number Of Black or African American Beneficiaries | 1417 |
| Number Of AsianPacific Islander Beneficiaries | 42 |
| Number Of Hispanic Beneficiaries | 42 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2919 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 913 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6956 |