| National Provider Identifier [NPI]: | 1205840881 |
| Last Name Of The Provider | SCHMETZ |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1661 SOQUEL DR |
| Street Address 2 Of The Provider | BUILDING G |
| City Of The Provider | SANTA CRUZ |
| Zip Code Of The Provider | 950651709 |
| 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 | 182 |
| Number Of Services | 16010 |
| Number Of Medicare Beneficiaries | 4041 |
| Total Submitted Charge Amount | 1525967.98 |
| Total Medicare Allowed Amount | 515629.15 |
| Total Medicare Payment Amount | 423870.47 |
| Total Medicare Standardized Payment Amount | 403024.46 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 8840 |
| Number Of Medicare Beneficiaries With Drug Services | 130 |
| Total Drug Submitted ChargeAmount | 8409.98 |
| Total Drug Medicare AllowedAmount | 2996.96 |
| Total Drug Medicare PaymentAmount | 2322.13 |
| Total Drug Medicare Standardized Payment Amount | 2322.13 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 179 |
| Number Of Medical Services | 7170 |
| Number Of Medicare Beneficiaries With Medical Services | 4041 |
| Total Medical Submitted Charge Amount | 1517558 |
| Total Medical Medicare Allowed Amount | 512632.19 |
| Total Medical Medicare Payment Amount | 421548.34 |
| Total Medical Medicare Standardized Payment Amount | 400702.33 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 578 |
| Number Of Beneficiaries Age 65 to 74 | 1780 |
| Number Of Beneficiaries Age 75 to 84 | 1069 |
| Number Of Beneficiaries Age Greater 84 | 614 |
| Number Of Female Beneficiaries | 2782 |
| Number Of Male Beneficiaries | 1259 |
| Number Of Non Hispanic White Beneficiaries | 3137 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 113 |
| Number Of Hispanic Beneficiaries | 680 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 64 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2991 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1050 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 62 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.2219 |