| National Provider Identifier [NPI]: | 1902197908 |
| Last Name Of The Provider | INAMDAR |
| First Name Of The Provider | VATSAL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1149 MAIN ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | LADY LAKE |
| Zip Code Of The Provider | 321597721 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiac Electrophysiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 62 |
| Number Of Services | 4332 |
| Number Of Medicare Beneficiaries | 1624 |
| Total Submitted Charge Amount | 729960.22 |
| Total Medicare Allowed Amount | 360888.89 |
| Total Medicare Payment Amount | 276651.29 |
| Total Medicare Standardized Payment Amount | 280899.95 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 260 |
| Number Of Medicare Beneficiaries With Drug Services | 65 |
| Total Drug Submitted ChargeAmount | 26000 |
| Total Drug Medicare AllowedAmount | 13733.71 |
| Total Drug Medicare PaymentAmount | 10669.26 |
| Total Drug Medicare Standardized Payment Amount | 10669.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 61 |
| Number Of Medical Services | 4072 |
| Number Of Medicare Beneficiaries With Medical Services | 1624 |
| Total Medical Submitted Charge Amount | 703960.22 |
| Total Medical Medicare Allowed Amount | 347155.18 |
| Total Medical Medicare Payment Amount | 265982.03 |
| Total Medical Medicare Standardized Payment Amount | 270230.69 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 271 |
| Number Of Beneficiaries Age 65 to 74 | 571 |
| Number Of Beneficiaries Age 75 to 84 | 494 |
| Number Of Beneficiaries Age Greater 84 | 288 |
| Number Of Female Beneficiaries | 883 |
| Number Of Male Beneficiaries | 741 |
| Number Of Non Hispanic White Beneficiaries | 1327 |
| Number Of Black or African American Beneficiaries | 173 |
| Number Of AsianPacific Islander Beneficiaries | 25 |
| Number Of Hispanic Beneficiaries | 73 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1140 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 484 |
| Percent Of With Atrial Fibrillation | 35 |
| Percent Of With Alzheimers Disease or Dementia | 27 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 48 |
| Percent Of With Chronic Kidney Disease | 52 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 42 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 2.1317 |