| National Provider Identifier [NPI]: | 1275589079 |
| Last Name Of The Provider | BENDAVID |
| First Name Of The Provider | ELI |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 18344 CLARK STREET |
| Street Address 2 Of The Provider | SUITE 101 |
| City Of The Provider | TARZANA |
| Zip Code Of The Provider | 91356 |
| 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 | 208 |
| Number Of Services | 11846 |
| Number Of Medicare Beneficiaries | 3738 |
| Total Submitted Charge Amount | 1045044 |
| Total Medicare Allowed Amount | 255224.75 |
| Total Medicare Payment Amount | 192146.51 |
| Total Medicare Standardized Payment Amount | 181548.72 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 5053 |
| Number Of Medicare Beneficiaries With Drug Services | 74 |
| Total Drug Submitted ChargeAmount | 10424 |
| Total Drug Medicare AllowedAmount | 1533.03 |
| Total Drug Medicare PaymentAmount | 1201.87 |
| Total Drug Medicare Standardized Payment Amount | 1201.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 205 |
| Number Of Medical Services | 6793 |
| Number Of Medicare Beneficiaries With Medical Services | 3738 |
| Total Medical Submitted Charge Amount | 1034620 |
| Total Medical Medicare Allowed Amount | 253691.72 |
| Total Medical Medicare Payment Amount | 190944.64 |
| Total Medical Medicare Standardized Payment Amount | 180346.85 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 355 |
| Number Of Beneficiaries Age 65 to 74 | 1031 |
| Number Of Beneficiaries Age 75 to 84 | 1177 |
| Number Of Beneficiaries Age Greater 84 | 1175 |
| Number Of Female Beneficiaries | 2120 |
| Number Of Male Beneficiaries | 1618 |
| Number Of Non Hispanic White Beneficiaries | 2216 |
| Number Of Black or African American Beneficiaries | 348 |
| Number Of AsianPacific Islander Beneficiaries | 530 |
| Number Of Hispanic Beneficiaries | 539 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1825 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1913 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 30 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 47 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 60 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.4193 |