| National Provider Identifier [NPI]: | 1275578965 |
| Last Name Of The Provider | CRUDALE |
| First Name Of The Provider | ANGELO |
| 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 | 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 | 191 |
| Number Of Services | 17660 |
| Number Of Medicare Beneficiaries | 4872 |
| Total Submitted Charge Amount | 1273742.8 |
| Total Medicare Allowed Amount | 265102.39 |
| Total Medicare Payment Amount | 208593.48 |
| Total Medicare Standardized Payment Amount | 188777.74 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 9985 |
| Number Of Medicare Beneficiaries With Drug Services | 93 |
| Total Drug Submitted ChargeAmount | 10458.8 |
| Total Drug Medicare AllowedAmount | 2247.12 |
| Total Drug Medicare PaymentAmount | 1749.08 |
| Total Drug Medicare Standardized Payment Amount | 1749.08 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 189 |
| Number Of Medical Services | 7675 |
| Number Of Medicare Beneficiaries With Medical Services | 4872 |
| Total Medical Submitted Charge Amount | 1263284 |
| Total Medical Medicare Allowed Amount | 262855.27 |
| Total Medical Medicare Payment Amount | 206844.4 |
| Total Medical Medicare Standardized Payment Amount | 187028.66 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 589 |
| Number Of Beneficiaries Age 65 to 74 | 1819 |
| Number Of Beneficiaries Age 75 to 84 | 1452 |
| Number Of Beneficiaries Age Greater 84 | 1012 |
| Number Of Female Beneficiaries | 3205 |
| Number Of Male Beneficiaries | 1667 |
| Number Of Non Hispanic White Beneficiaries | 3816 |
| Number Of Black or African American Beneficiaries | 237 |
| Number Of AsianPacific Islander Beneficiaries | 309 |
| Number Of Hispanic Beneficiaries | 374 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3852 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1020 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.638 |