| National Provider Identifier [NPI]: | 1821075797 |
| Last Name Of The Provider | IQBAL |
| First Name Of The Provider | NASIR |
| 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 | 11995 SINGLETREE LN |
| Street Address 2 Of The Provider | SUITE 500 |
| City Of The Provider | EDEN PRAIRIE |
| Zip Code Of The Provider | 553445347 |
| State Code Of The Provider | MN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 195 |
| Number Of Services | 7025 |
| Number Of Medicare Beneficiaries | 4095 |
| Total Submitted Charge Amount | 1086133 |
| Total Medicare Allowed Amount | 266455.68 |
| Total Medicare Payment Amount | 197239.4 |
| Total Medicare Standardized Payment Amount | 190137.48 |
| 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 | 195 |
| Number Of Medical Services | 7025 |
| Number Of Medicare Beneficiaries With Medical Services | 4095 |
| Total Medical Submitted Charge Amount | 1086133 |
| Total Medical Medicare Allowed Amount | 266455.68 |
| Total Medical Medicare Payment Amount | 197239.4 |
| Total Medical Medicare Standardized Payment Amount | 190137.48 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 498 |
| Number Of Beneficiaries Age 65 to 74 | 1574 |
| Number Of Beneficiaries Age 75 to 84 | 1258 |
| Number Of Beneficiaries Age Greater 84 | 765 |
| Number Of Female Beneficiaries | 2354 |
| Number Of Male Beneficiaries | 1741 |
| Number Of Non Hispanic White Beneficiaries | 3545 |
| Number Of Black or African American Beneficiaries | 283 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 196 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3473 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 622 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.6106 |