| National Provider Identifier [NPI]: | 1932181575 |
| Last Name Of The Provider | LIPSON |
| First Name Of The Provider | SCOTT |
| 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 | 2125 OAK GROVE RD |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | WALNUT CREEK |
| Zip Code Of The Provider | 945982536 |
| 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 | 157 |
| Number Of Services | 23138 |
| Number Of Medicare Beneficiaries | 3090 |
| Total Submitted Charge Amount | 1890352 |
| Total Medicare Allowed Amount | 347934.28 |
| Total Medicare Payment Amount | 268561.45 |
| Total Medicare Standardized Payment Amount | 236128.21 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 18668 |
| Number Of Medicare Beneficiaries With Drug Services | 240 |
| Total Drug Submitted ChargeAmount | 24328 |
| Total Drug Medicare AllowedAmount | 6587.11 |
| Total Drug Medicare PaymentAmount | 5164.23 |
| Total Drug Medicare Standardized Payment Amount | 5164.23 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 152 |
| Number Of Medical Services | 4470 |
| Number Of Medicare Beneficiaries With Medical Services | 3090 |
| Total Medical Submitted Charge Amount | 1866024 |
| Total Medical Medicare Allowed Amount | 341347.17 |
| Total Medical Medicare Payment Amount | 263397.22 |
| Total Medical Medicare Standardized Payment Amount | 230963.98 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 483 |
| Number Of Beneficiaries Age 65 to 74 | 1188 |
| Number Of Beneficiaries Age 75 to 84 | 846 |
| Number Of Beneficiaries Age Greater 84 | 573 |
| Number Of Female Beneficiaries | 1856 |
| Number Of Male Beneficiaries | 1234 |
| Number Of Non Hispanic White Beneficiaries | 1716 |
| Number Of Black or African American Beneficiaries | 711 |
| Number Of AsianPacific Islander Beneficiaries | 401 |
| Number Of Hispanic Beneficiaries | 188 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1965 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1125 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.6012 |