| National Provider Identifier [NPI]: | 1285739334 |
| Last Name Of The Provider | PINNELL |
| First Name Of The Provider | SEAN |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 410 S MELROSE DR |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | VISTA |
| Zip Code Of The Provider | 920816642 |
| 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 | 207 |
| Number Of Services | 11784 |
| Number Of Medicare Beneficiaries | 3029 |
| Total Submitted Charge Amount | 1091619.32 |
| Total Medicare Allowed Amount | 313497.2 |
| Total Medicare Payment Amount | 236057.13 |
| Total Medicare Standardized Payment Amount | 231094.43 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6831 |
| Number Of Medicare Beneficiaries With Drug Services | 93 |
| Total Drug Submitted ChargeAmount | 14304.18 |
| Total Drug Medicare AllowedAmount | 2324.25 |
| Total Drug Medicare PaymentAmount | 1809.28 |
| Total Drug Medicare Standardized Payment Amount | 1809.28 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 205 |
| Number Of Medical Services | 4953 |
| Number Of Medicare Beneficiaries With Medical Services | 3029 |
| Total Medical Submitted Charge Amount | 1077315.14 |
| Total Medical Medicare Allowed Amount | 311172.95 |
| Total Medical Medicare Payment Amount | 234247.85 |
| Total Medical Medicare Standardized Payment Amount | 229285.15 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 430 |
| Number Of Beneficiaries Age 65 to 74 | 888 |
| Number Of Beneficiaries Age 75 to 84 | 955 |
| Number Of Beneficiaries Age Greater 84 | 756 |
| Number Of Female Beneficiaries | 1763 |
| Number Of Male Beneficiaries | 1266 |
| Number Of Non Hispanic White Beneficiaries | 2365 |
| Number Of Black or African American Beneficiaries | 94 |
| Number Of AsianPacific Islander Beneficiaries | 153 |
| Number Of Hispanic Beneficiaries | 344 |
| Number Of American Indian Alaska Native Beneficiaries | 20 |
| Number Of Beneficiaries With Race Not Else where Classified | 53 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2209 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 820 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.8311 |