| National Provider Identifier [NPI]: | 1780625947 |
| Last Name Of The Provider | STROMBERG |
| First Name Of The Provider | GARY |
| Middle Initial Of The Provider | |
| 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 | 220 |
| Number Of Services | 10322 |
| Number Of Medicare Beneficiaries | 5208 |
| Total Submitted Charge Amount | 878380.5 |
| Total Medicare Allowed Amount | 308695.92 |
| Total Medicare Payment Amount | 248150.08 |
| Total Medicare Standardized Payment Amount | 240433 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 2292 |
| Number Of Medicare Beneficiaries With Drug Services | 40 |
| Total Drug Submitted ChargeAmount | 5602.5 |
| Total Drug Medicare AllowedAmount | 861.87 |
| Total Drug Medicare PaymentAmount | 675.69 |
| Total Drug Medicare Standardized Payment Amount | 675.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 214 |
| Number Of Medical Services | 8030 |
| Number Of Medicare Beneficiaries With Medical Services | 5208 |
| Total Medical Submitted Charge Amount | 872778 |
| Total Medical Medicare Allowed Amount | 307834.05 |
| Total Medical Medicare Payment Amount | 247474.39 |
| Total Medical Medicare Standardized Payment Amount | 239757.31 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 994 |
| Number Of Beneficiaries Age 65 to 74 | 1975 |
| Number Of Beneficiaries Age 75 to 84 | 1451 |
| Number Of Beneficiaries Age Greater 84 | 788 |
| Number Of Female Beneficiaries | 3232 |
| Number Of Male Beneficiaries | 1976 |
| Number Of Non Hispanic White Beneficiaries | 4641 |
| Number Of Black or African American Beneficiaries | 71 |
| Number Of AsianPacific Islander Beneficiaries | 67 |
| Number Of Hispanic Beneficiaries | 314 |
| Number Of American Indian Alaska Native Beneficiaries | 78 |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3605 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1603 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.583 |