| National Provider Identifier [NPI]: | 1497792626 |
| Last Name Of The Provider | SCHRADER |
| First Name Of The Provider | MAURICIO |
| 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 | 215 |
| Number Of Services | 9616 |
| Number Of Medicare Beneficiaries | 4401 |
| Total Submitted Charge Amount | 896561 |
| Total Medicare Allowed Amount | 312655.13 |
| Total Medicare Payment Amount | 246635.14 |
| Total Medicare Standardized Payment Amount | 239341.91 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 2526 |
| Number Of Medicare Beneficiaries With Drug Services | 44 |
| Total Drug Submitted ChargeAmount | 6425 |
| Total Drug Medicare AllowedAmount | 1001.98 |
| Total Drug Medicare PaymentAmount | 785.53 |
| Total Drug Medicare Standardized Payment Amount | 785.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 211 |
| Number Of Medical Services | 7090 |
| Number Of Medicare Beneficiaries With Medical Services | 4401 |
| Total Medical Submitted Charge Amount | 890136 |
| Total Medical Medicare Allowed Amount | 311653.15 |
| Total Medical Medicare Payment Amount | 245849.61 |
| Total Medical Medicare Standardized Payment Amount | 238556.38 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 809 |
| Number Of Beneficiaries Age 65 to 74 | 1701 |
| Number Of Beneficiaries Age 75 to 84 | 1216 |
| Number Of Beneficiaries Age Greater 84 | 675 |
| Number Of Female Beneficiaries | 2917 |
| Number Of Male Beneficiaries | 1484 |
| Number Of Non Hispanic White Beneficiaries | 3914 |
| Number Of Black or African American Beneficiaries | 56 |
| Number Of AsianPacific Islander Beneficiaries | 61 |
| Number Of Hispanic Beneficiaries | 273 |
| Number Of American Indian Alaska Native Beneficiaries | 67 |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3008 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1393 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5202 |