| National Provider Identifier [NPI]: | 1477516805 |
| Last Name Of The Provider | LETNER |
| First Name Of The Provider | CRAIG |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1702 ESPLANADE |
| Street Address 2 Of The Provider | |
| City Of The Provider | CHICO |
| Zip Code Of The Provider | 959263315 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 221 |
| Number Of Services | 11854 |
| Number Of Medicare Beneficiaries | 5002 |
| Total Submitted Charge Amount | 1084746.5 |
| Total Medicare Allowed Amount | 379144.3 |
| Total Medicare Payment Amount | 310063.84 |
| Total Medicare Standardized Payment Amount | 299331.08 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 3569 |
| Number Of Medicare Beneficiaries With Drug Services | 72 |
| Total Drug Submitted ChargeAmount | 8726.5 |
| Total Drug Medicare AllowedAmount | 1394.38 |
| Total Drug Medicare PaymentAmount | 1093.24 |
| Total Drug Medicare Standardized Payment Amount | 1093.24 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 215 |
| Number Of Medical Services | 8285 |
| Number Of Medicare Beneficiaries With Medical Services | 5002 |
| Total Medical Submitted Charge Amount | 1076020 |
| Total Medical Medicare Allowed Amount | 377749.92 |
| Total Medical Medicare Payment Amount | 308970.6 |
| Total Medical Medicare Standardized Payment Amount | 298237.84 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 913 |
| Number Of Beneficiaries Age 65 to 74 | 2006 |
| Number Of Beneficiaries Age 75 to 84 | 1381 |
| Number Of Beneficiaries Age Greater 84 | 702 |
| Number Of Female Beneficiaries | 3328 |
| Number Of Male Beneficiaries | 1674 |
| Number Of Non Hispanic White Beneficiaries | 4453 |
| Number Of Black or African American Beneficiaries | 53 |
| Number Of AsianPacific Islander Beneficiaries | 71 |
| Number Of Hispanic Beneficiaries | 308 |
| Number Of American Indian Alaska Native Beneficiaries | 78 |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3495 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1507 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4873 |