| National Provider Identifier [NPI]: | 1669630216 |
| Last Name Of The Provider | JANI |
| First Name Of The Provider | KUNAL |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 527 N PALO ALTO AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | PANAMA CITY |
| Zip Code Of The Provider | 324013639 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 262 |
| Number Of Services | 5189 |
| Number Of Medicare Beneficiaries | 2829 |
| Total Submitted Charge Amount | 809872.25 |
| Total Medicare Allowed Amount | 245860.36 |
| Total Medicare Payment Amount | 191998.37 |
| Total Medicare Standardized Payment Amount | 192127.22 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 113 |
| Number Of Medicare Beneficiaries With Drug Services | 28 |
| Total Drug Submitted ChargeAmount | 453.25 |
| Total Drug Medicare AllowedAmount | 195.93 |
| Total Drug Medicare PaymentAmount | 153.66 |
| Total Drug Medicare Standardized Payment Amount | 153.66 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 257 |
| Number Of Medical Services | 5076 |
| Number Of Medicare Beneficiaries With Medical Services | 2829 |
| Total Medical Submitted Charge Amount | 809419 |
| Total Medical Medicare Allowed Amount | 245664.43 |
| Total Medical Medicare Payment Amount | 191844.71 |
| Total Medical Medicare Standardized Payment Amount | 191973.56 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 651 |
| Number Of Beneficiaries Age 65 to 74 | 959 |
| Number Of Beneficiaries Age 75 to 84 | 831 |
| Number Of Beneficiaries Age Greater 84 | 388 |
| Number Of Female Beneficiaries | 1547 |
| Number Of Male Beneficiaries | 1282 |
| Number Of Non Hispanic White Beneficiaries | 2450 |
| Number Of Black or African American Beneficiaries | 311 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 28 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1936 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 893 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 41 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.8375 |