| National Provider Identifier [NPI]: | 1356382956 |
| Last Name Of The Provider | BAXTER |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| 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 | 267 |
| Number Of Services | 10876 |
| Number Of Medicare Beneficiaries | 2164 |
| Total Submitted Charge Amount | 1403475 |
| Total Medicare Allowed Amount | 239490.27 |
| Total Medicare Payment Amount | 185899.38 |
| Total Medicare Standardized Payment Amount | 167203.15 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 7407 |
| Number Of Medicare Beneficiaries With Drug Services | 88 |
| Total Drug Submitted ChargeAmount | 8589 |
| Total Drug Medicare AllowedAmount | 2192.91 |
| Total Drug Medicare PaymentAmount | 1696.31 |
| Total Drug Medicare Standardized Payment Amount | 1696.31 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 263 |
| Number Of Medical Services | 3469 |
| Number Of Medicare Beneficiaries With Medical Services | 2163 |
| Total Medical Submitted Charge Amount | 1394886 |
| Total Medical Medicare Allowed Amount | 237297.36 |
| Total Medical Medicare Payment Amount | 184203.07 |
| Total Medical Medicare Standardized Payment Amount | 165506.84 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 409 |
| Number Of Beneficiaries Age 65 to 74 | 836 |
| Number Of Beneficiaries Age 75 to 84 | 570 |
| Number Of Beneficiaries Age Greater 84 | 349 |
| Number Of Female Beneficiaries | 1338 |
| Number Of Male Beneficiaries | 826 |
| Number Of Non Hispanic White Beneficiaries | 1125 |
| Number Of Black or African American Beneficiaries | 591 |
| Number Of AsianPacific Islander Beneficiaries | 222 |
| Number Of Hispanic Beneficiaries | 154 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1348 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 816 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.9032 |