| National Provider Identifier [NPI]: | 1134160393 |
| Last Name Of The Provider | WARREN |
| First Name Of The Provider | JAMES |
| 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 | Interventional Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 250 |
| Number Of Services | 20048 |
| Number Of Medicare Beneficiaries | 6401 |
| Total Submitted Charge Amount | 2057026.5 |
| Total Medicare Allowed Amount | 691323.74 |
| Total Medicare Payment Amount | 549863.9 |
| Total Medicare Standardized Payment Amount | 536437.65 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 9687 |
| Number Of Medicare Beneficiaries With Drug Services | 196 |
| Total Drug Submitted ChargeAmount | 27433.5 |
| Total Drug Medicare AllowedAmount | 4705.06 |
| Total Drug Medicare PaymentAmount | 3688.8 |
| Total Drug Medicare Standardized Payment Amount | 3688.8 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 245 |
| Number Of Medical Services | 10361 |
| Number Of Medicare Beneficiaries With Medical Services | 6401 |
| Total Medical Submitted Charge Amount | 2029593 |
| Total Medical Medicare Allowed Amount | 686618.68 |
| Total Medical Medicare Payment Amount | 546175.1 |
| Total Medical Medicare Standardized Payment Amount | 532748.85 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1272 |
| Number Of Beneficiaries Age 65 to 74 | 2367 |
| Number Of Beneficiaries Age 75 to 84 | 1757 |
| Number Of Beneficiaries Age Greater 84 | 1005 |
| Number Of Female Beneficiaries | 3900 |
| Number Of Male Beneficiaries | 2501 |
| Number Of Non Hispanic White Beneficiaries | 5649 |
| Number Of Black or African American Beneficiaries | 82 |
| Number Of AsianPacific Islander Beneficiaries | 88 |
| Number Of Hispanic Beneficiaries | 407 |
| Number Of American Indian Alaska Native Beneficiaries | 120 |
| Number Of Beneficiaries With Race Not Else where Classified | 55 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4331 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2070 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.604 |