| National Provider Identifier [NPI]: | 1699941039 |
| Last Name Of The Provider | SOSNOWSKI |
| First Name Of The Provider | RAFAL |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 39000 BOB HOPE DRIVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | RANCHO MIRAGE |
| Zip Code Of The Provider | 922703221 |
| 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 | 245 |
| Number Of Services | 93305 |
| Number Of Medicare Beneficiaries | 5682 |
| Total Submitted Charge Amount | 6006300.84 |
| Total Medicare Allowed Amount | 1679255.34 |
| Total Medicare Payment Amount | 1282426.87 |
| Total Medicare Standardized Payment Amount | 1259011.93 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 83267 |
| Number Of Medicare Beneficiaries With Drug Services | 1118 |
| Total Drug Submitted ChargeAmount | 126687 |
| Total Drug Medicare AllowedAmount | 24981.8 |
| Total Drug Medicare PaymentAmount | 19552.71 |
| Total Drug Medicare Standardized Payment Amount | 19552.71 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 239 |
| Number Of Medical Services | 10038 |
| Number Of Medicare Beneficiaries With Medical Services | 5682 |
| Total Medical Submitted Charge Amount | 5879613.84 |
| Total Medical Medicare Allowed Amount | 1654273.54 |
| Total Medical Medicare Payment Amount | 1262874.16 |
| Total Medical Medicare Standardized Payment Amount | 1239459.22 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 377 |
| Number Of Beneficiaries Age 65 to 74 | 2087 |
| Number Of Beneficiaries Age 75 to 84 | 2102 |
| Number Of Beneficiaries Age Greater 84 | 1116 |
| Number Of Female Beneficiaries | 3125 |
| Number Of Male Beneficiaries | 2557 |
| Number Of Non Hispanic White Beneficiaries | 4991 |
| Number Of Black or African American Beneficiaries | 74 |
| Number Of AsianPacific Islander Beneficiaries | 54 |
| Number Of Hispanic Beneficiaries | 483 |
| Number Of American Indian Alaska Native Beneficiaries | 19 |
| Number Of Beneficiaries With Race Not Else where Classified | 61 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5030 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 652 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 22 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5951 |