| National Provider Identifier [NPI]: | 1427269604 |
| Last Name Of The Provider | LAURENCE |
| First Name Of The Provider | NANCY |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2801 K STREET |
| Street Address 2 Of The Provider | SUITE 502 |
| City Of The Provider | SACRAMENTO |
| Zip Code Of The Provider | 958165616 |
| 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 | 144 |
| Number Of Services | 10815 |
| Number Of Medicare Beneficiaries | 3363 |
| Total Submitted Charge Amount | 683515 |
| Total Medicare Allowed Amount | 173058.88 |
| Total Medicare Payment Amount | 128415.16 |
| Total Medicare Standardized Payment Amount | 123027.34 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 6352 |
| Number Of Medicare Beneficiaries With Drug Services | 65 |
| Total Drug Submitted ChargeAmount | 6536 |
| Total Drug Medicare AllowedAmount | 1275.16 |
| Total Drug Medicare PaymentAmount | 999.69 |
| Total Drug Medicare Standardized Payment Amount | 999.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 141 |
| Number Of Medical Services | 4463 |
| Number Of Medicare Beneficiaries With Medical Services | 3363 |
| Total Medical Submitted Charge Amount | 676979 |
| Total Medical Medicare Allowed Amount | 171783.72 |
| Total Medical Medicare Payment Amount | 127415.47 |
| Total Medical Medicare Standardized Payment Amount | 122027.65 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 517 |
| Number Of Beneficiaries Age 65 to 74 | 1187 |
| Number Of Beneficiaries Age 75 to 84 | 1004 |
| Number Of Beneficiaries Age Greater 84 | 655 |
| Number Of Female Beneficiaries | 1893 |
| Number Of Male Beneficiaries | 1470 |
| Number Of Non Hispanic White Beneficiaries | 2606 |
| Number Of Black or African American Beneficiaries | 191 |
| Number Of AsianPacific Islander Beneficiaries | 220 |
| Number Of Hispanic Beneficiaries | 263 |
| Number Of American Indian Alaska Native Beneficiaries | 20 |
| Number Of Beneficiaries With Race Not Else where Classified | 63 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2453 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 910 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7909 |