| National Provider Identifier [NPI]: | 1679590319 |
| Last Name Of The Provider | KHOSLA |
| First Name Of The Provider | ANIL |
| 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 | 1800 N CALIFORNIA ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | STOCKTON |
| Zip Code Of The Provider | 952046019 |
| 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 | 211 |
| Number Of Services | 10500 |
| Number Of Medicare Beneficiaries | 5096 |
| Total Submitted Charge Amount | 1392126.25 |
| Total Medicare Allowed Amount | 311136.51 |
| Total Medicare Payment Amount | 231363.67 |
| Total Medicare Standardized Payment Amount | 228197.9 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 211 |
| Number Of Medical Services | 10500 |
| Number Of Medicare Beneficiaries With Medical Services | 5096 |
| Total Medical Submitted Charge Amount | 1392126.25 |
| Total Medical Medicare Allowed Amount | 311136.51 |
| Total Medical Medicare Payment Amount | 231363.67 |
| Total Medical Medicare Standardized Payment Amount | 228197.9 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1084 |
| Number Of Beneficiaries Age 65 to 74 | 1763 |
| Number Of Beneficiaries Age 75 to 84 | 1343 |
| Number Of Beneficiaries Age Greater 84 | 906 |
| Number Of Female Beneficiaries | 3050 |
| Number Of Male Beneficiaries | 2046 |
| Number Of Non Hispanic White Beneficiaries | 2742 |
| Number Of Black or African American Beneficiaries | 534 |
| Number Of AsianPacific Islander Beneficiaries | 550 |
| Number Of Hispanic Beneficiaries | 1152 |
| Number Of American Indian Alaska Native Beneficiaries | 17 |
| Number Of Beneficiaries With Race Not Else where Classified | 101 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2747 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2349 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.725 |