| National Provider Identifier [NPI]: | 1548494248 | 
| Last Name Of The Provider | NATION | 
| First Name Of The Provider | MARTIN | 
| Middle Initial Of The Provider | C | 
| Credentials Of The Provider | MD | 
| Gender Of The Provider | M | 
| Entity Type Of The Provider | I | 
| Street Address 1 Of The Provider | 1123 W STRUCK AVE | 
| Street Address 2 Of The Provider | |
| City Of The Provider | ORANGE | 
| Zip Code Of The Provider | 928673529 | 
| State Code Of The Provider | CA | 
| Country Code Of The Provider | US | 
| Provider Type Of The Provider | Geriatric Medicine | 
| Medicare Participation Indicator | Y | 
| Number Of HCPCS | 46 | 
| Number Of Services | 612 | 
| Number Of Medicare Beneficiaries | 90 | 
| Total Submitted Charge Amount | 94356.54 | 
| Total Medicare Allowed Amount | 36730.43 | 
| Total Medicare Payment Amount | 21989.88 | 
| Total Medicare Standardized Payment Amount | 20641.74 | 
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 | 
| Number Of Drug Services | 22 | 
| Number Of Medicare Beneficiaries With Drug Services | 17 | 
| Total Drug Submitted ChargeAmount | 510 | 
| Total Drug Medicare AllowedAmount | 22.34 | 
| Total Drug Medicare PaymentAmount | 17.54 | 
| Total Drug Medicare Standardized Payment Amount | 17.54 | 
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 43 | 
| Number Of Medical Services | 590 | 
| Number Of Medicare Beneficiaries With Medical Services | 90 | 
| Total Medical Submitted Charge Amount | 93846.54 | 
| Total Medical Medicare Allowed Amount | 36708.09 | 
| Total Medical Medicare Payment Amount | 21972.34 | 
| Total Medical Medicare Standardized Payment Amount | 20624.2 | 
| Average Age Of Beneficiaries | 71 | 
| Number Of Beneficiaries Age Less65 | 20 | 
| Number Of Beneficiaries Age 65 to 74 | 36 | 
| Number Of Beneficiaries Age 75 to 84 | 23 | 
| Number Of Beneficiaries Age Greater 84 | 11 | 
| Number Of Female Beneficiaries | 49 | 
| Number Of Male Beneficiaries | 41 | 
| Number Of Non Hispanic White Beneficiaries | 18 | 
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 52 | 
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 24 | 
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 66 | 
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | 20 | 
| Percent Of With Asthma | |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | 20 | 
| Percent Of With Chronic Kidney Disease | 31 | 
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 | 
| Percent Of With Depression | 36 | 
| Percent Of With Diabetes | 58 | 
| Percent Of With Hyperlipidemia | 58 | 
| Percent Of With Hypertension | 75 | 
| Percent Of With Ischemic Heart Disease | 30 | 
| Percent Of With Osteoporosis | |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 | 
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 1.501 |