| National Provider Identifier [NPI]: | 1366455784 |
| Last Name Of The Provider | GUPTA |
| First Name Of The Provider | RAHUL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 945 SHASTA ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | YUBA CITY |
| Zip Code Of The Provider | 959914114 |
| 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 | 190 |
| Number Of Services | 22056 |
| Number Of Medicare Beneficiaries | 4507 |
| Total Submitted Charge Amount | 1707346.56 |
| Total Medicare Allowed Amount | 486128.65 |
| Total Medicare Payment Amount | 374258.92 |
| Total Medicare Standardized Payment Amount | 359765.45 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 12793 |
| Number Of Medicare Beneficiaries With Drug Services | 163 |
| Total Drug Submitted ChargeAmount | 14021.56 |
| Total Drug Medicare AllowedAmount | 3407.28 |
| Total Drug Medicare PaymentAmount | 2621.99 |
| Total Drug Medicare Standardized Payment Amount | 2621.99 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 187 |
| Number Of Medical Services | 9263 |
| Number Of Medicare Beneficiaries With Medical Services | 4506 |
| Total Medical Submitted Charge Amount | 1693325 |
| Total Medical Medicare Allowed Amount | 482721.37 |
| Total Medical Medicare Payment Amount | 371636.93 |
| Total Medical Medicare Standardized Payment Amount | 357143.46 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 890 |
| Number Of Beneficiaries Age 65 to 74 | 1675 |
| Number Of Beneficiaries Age 75 to 84 | 1350 |
| Number Of Beneficiaries Age Greater 84 | 592 |
| Number Of Female Beneficiaries | 2753 |
| Number Of Male Beneficiaries | 1754 |
| Number Of Non Hispanic White Beneficiaries | 3388 |
| Number Of Black or African American Beneficiaries | 109 |
| Number Of AsianPacific Islander Beneficiaries | 366 |
| Number Of Hispanic Beneficiaries | 513 |
| Number Of American Indian Alaska Native Beneficiaries | 74 |
| Number Of Beneficiaries With Race Not Else where Classified | 57 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2823 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1684 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5765 |