| National Provider Identifier [NPI]: | 1720061211 |
| Last Name Of The Provider | ALBERTS |
| First Name Of The Provider | RICHARD |
| 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 | 12401 E WASHINGTON BLVD |
| Street Address 2 Of The Provider | PRESBYTERIAN INTERCOMMUNITY HOSPITAL |
| City Of The Provider | WHITTIER |
| Zip Code Of The Provider | 90602 |
| 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 | 266 |
| Number Of Services | 18148 |
| Number Of Medicare Beneficiaries | 5611 |
| Total Submitted Charge Amount | 2352647.8 |
| Total Medicare Allowed Amount | 471695.42 |
| Total Medicare Payment Amount | 348801.36 |
| Total Medicare Standardized Payment Amount | 331952.63 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6084 |
| Number Of Medicare Beneficiaries With Drug Services | 65 |
| Total Drug Submitted ChargeAmount | 5938.8 |
| Total Drug Medicare AllowedAmount | 1198.4 |
| Total Drug Medicare PaymentAmount | 939.49 |
| Total Drug Medicare Standardized Payment Amount | 939.49 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 264 |
| Number Of Medical Services | 12064 |
| Number Of Medicare Beneficiaries With Medical Services | 5611 |
| Total Medical Submitted Charge Amount | 2346709 |
| Total Medical Medicare Allowed Amount | 470497.02 |
| Total Medical Medicare Payment Amount | 347861.87 |
| Total Medical Medicare Standardized Payment Amount | 331013.14 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 790 |
| Number Of Beneficiaries Age 65 to 74 | 1754 |
| Number Of Beneficiaries Age 75 to 84 | 1768 |
| Number Of Beneficiaries Age Greater 84 | 1299 |
| Number Of Female Beneficiaries | 3328 |
| Number Of Male Beneficiaries | 2283 |
| Number Of Non Hispanic White Beneficiaries | 3805 |
| Number Of Black or African American Beneficiaries | 415 |
| Number Of AsianPacific Islander Beneficiaries | 480 |
| Number Of Hispanic Beneficiaries | 773 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3051 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2560 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.1904 |