| National Provider Identifier [NPI]: | 1619992039 |
| Last Name Of The Provider | CASEY |
| First Name Of The Provider | DANNY |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2550 SISTER MARY COLUMBA DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | RED BLUFF |
| Zip Code Of The Provider | 960804327 |
| 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 | 220 |
| Number Of Services | 10061 |
| Number Of Medicare Beneficiaries | 4417 |
| Total Submitted Charge Amount | 1099655 |
| Total Medicare Allowed Amount | 257771.75 |
| Total Medicare Payment Amount | 185866.25 |
| Total Medicare Standardized Payment Amount | 183932.34 |
| 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 | 220 |
| Number Of Medical Services | 10061 |
| Number Of Medicare Beneficiaries With Medical Services | 4417 |
| Total Medical Submitted Charge Amount | 1099655 |
| Total Medical Medicare Allowed Amount | 257771.75 |
| Total Medical Medicare Payment Amount | 185866.25 |
| Total Medical Medicare Standardized Payment Amount | 183932.34 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 963 |
| Number Of Beneficiaries Age 65 to 74 | 1651 |
| Number Of Beneficiaries Age 75 to 84 | 1241 |
| Number Of Beneficiaries Age Greater 84 | 562 |
| Number Of Female Beneficiaries | 2660 |
| Number Of Male Beneficiaries | 1757 |
| Number Of Non Hispanic White Beneficiaries | 3893 |
| Number Of Black or African American Beneficiaries | 30 |
| Number Of AsianPacific Islander Beneficiaries | 35 |
| Number Of Hispanic Beneficiaries | 315 |
| Number Of American Indian Alaska Native Beneficiaries | 102 |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2951 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1466 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 42 |
| Percent Of With Hypertension | 62 |
| Percent Of With Ischemic Heart Disease | 29 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1434 |