| National Provider Identifier [NPI]: | 1376591685 |
| Last Name Of The Provider | PIATT |
| First Name Of The Provider | BRADFORD |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3300 WEBSTER ST |
| Street Address 2 Of The Provider | #109 |
| City Of The Provider | OAKLAND |
| Zip Code Of The Provider | 946093117 |
| 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 | 157 |
| Number Of Services | 10410 |
| Number Of Medicare Beneficiaries | 3801 |
| Total Submitted Charge Amount | 1914176.78 |
| Total Medicare Allowed Amount | 633541.61 |
| Total Medicare Payment Amount | 476493.84 |
| Total Medicare Standardized Payment Amount | 398980.69 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 4027 |
| Number Of Medicare Beneficiaries With Drug Services | 57 |
| Total Drug Submitted ChargeAmount | 9880.1 |
| Total Drug Medicare AllowedAmount | 1672.3 |
| Total Drug Medicare PaymentAmount | 1300.69 |
| Total Drug Medicare Standardized Payment Amount | 1300.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 155 |
| Number Of Medical Services | 6383 |
| Number Of Medicare Beneficiaries With Medical Services | 3801 |
| Total Medical Submitted Charge Amount | 1904296.68 |
| Total Medical Medicare Allowed Amount | 631869.31 |
| Total Medical Medicare Payment Amount | 475193.15 |
| Total Medical Medicare Standardized Payment Amount | 397680 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 558 |
| Number Of Beneficiaries Age 65 to 74 | 1736 |
| Number Of Beneficiaries Age 75 to 84 | 1088 |
| Number Of Beneficiaries Age Greater 84 | 419 |
| Number Of Female Beneficiaries | 2566 |
| Number Of Male Beneficiaries | 1235 |
| Number Of Non Hispanic White Beneficiaries | 1435 |
| Number Of Black or African American Beneficiaries | 340 |
| Number Of AsianPacific Islander Beneficiaries | 1352 |
| Number Of Hispanic Beneficiaries | 577 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 84 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1582 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2219 |
| Percent Of With Atrial Fibrillation | 8 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 20 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 30 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.019 |