| National Provider Identifier [NPI]: | 1265452411 |
| Last Name Of The Provider | HOHMEISTER |
| First Name Of The Provider | JON |
| 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 | 2020 COURT ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | REDDING |
| Zip Code Of The Provider | 960011822 |
| 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 | 181 |
| Number Of Services | 34148 |
| Number Of Medicare Beneficiaries | 4809 |
| Total Submitted Charge Amount | 1787461.8 |
| Total Medicare Allowed Amount | 469323.33 |
| Total Medicare Payment Amount | 352777.87 |
| Total Medicare Standardized Payment Amount | 340924.51 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 27231 |
| Number Of Medicare Beneficiaries With Drug Services | 275 |
| Total Drug Submitted ChargeAmount | 28409 |
| Total Drug Medicare AllowedAmount | 6748.85 |
| Total Drug Medicare PaymentAmount | 5239.06 |
| Total Drug Medicare Standardized Payment Amount | 5239.06 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 176 |
| Number Of Medical Services | 6917 |
| Number Of Medicare Beneficiaries With Medical Services | 4809 |
| Total Medical Submitted Charge Amount | 1759052.8 |
| Total Medical Medicare Allowed Amount | 462574.48 |
| Total Medical Medicare Payment Amount | 347538.81 |
| Total Medical Medicare Standardized Payment Amount | 335685.45 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1069 |
| Number Of Beneficiaries Age 65 to 74 | 1897 |
| Number Of Beneficiaries Age 75 to 84 | 1215 |
| Number Of Beneficiaries Age Greater 84 | 628 |
| Number Of Female Beneficiaries | 2739 |
| Number Of Male Beneficiaries | 2070 |
| Number Of Non Hispanic White Beneficiaries | 4379 |
| Number Of Black or African American Beneficiaries | 47 |
| Number Of AsianPacific Islander Beneficiaries | 75 |
| Number Of Hispanic Beneficiaries | 164 |
| Number Of American Indian Alaska Native Beneficiaries | 107 |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3263 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1546 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4096 |