| National Provider Identifier [NPI]: | 1588619928 |
| Last Name Of The Provider | YAWITZ |
| First Name Of The Provider | BRUCE |
| 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 | 2202 WILSHIRE BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | SANTA MONICA |
| Zip Code Of The Provider | 904035706 |
| 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 | 167 |
| Number Of Services | 18179 |
| Number Of Medicare Beneficiaries | 3438 |
| Total Submitted Charge Amount | 1739588.5 |
| Total Medicare Allowed Amount | 405617.96 |
| Total Medicare Payment Amount | 309074.83 |
| Total Medicare Standardized Payment Amount | 283223.32 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 12450 |
| Number Of Medicare Beneficiaries With Drug Services | 223 |
| Total Drug Submitted ChargeAmount | 19801.5 |
| Total Drug Medicare AllowedAmount | 4511.9 |
| Total Drug Medicare PaymentAmount | 3483.6 |
| Total Drug Medicare Standardized Payment Amount | 3483.6 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 162 |
| Number Of Medical Services | 5729 |
| Number Of Medicare Beneficiaries With Medical Services | 3437 |
| Total Medical Submitted Charge Amount | 1719787 |
| Total Medical Medicare Allowed Amount | 401106.06 |
| Total Medical Medicare Payment Amount | 305591.23 |
| Total Medical Medicare Standardized Payment Amount | 279739.72 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 256 |
| Number Of Beneficiaries Age 65 to 74 | 1210 |
| Number Of Beneficiaries Age 75 to 84 | 1103 |
| Number Of Beneficiaries Age Greater 84 | 869 |
| Number Of Female Beneficiaries | 2017 |
| Number Of Male Beneficiaries | 1421 |
| Number Of Non Hispanic White Beneficiaries | 2751 |
| Number Of Black or African American Beneficiaries | 133 |
| Number Of AsianPacific Islander Beneficiaries | 186 |
| Number Of Hispanic Beneficiaries | 268 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2672 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 766 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.6935 |