| National Provider Identifier [NPI]: | 1225059736 |
| Last Name Of The Provider | STEPANEK |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 315 HOLTON AVE STE 102 |
| Street Address 2 Of The Provider | |
| City Of The Provider | YAKIMA |
| Zip Code Of The Provider | 989023240 |
| State Code Of The Provider | WA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 217 |
| Number Of Services | 8366 |
| Number Of Medicare Beneficiaries | 4994 |
| Total Submitted Charge Amount | 1148695 |
| Total Medicare Allowed Amount | 258273.57 |
| Total Medicare Payment Amount | 193716.85 |
| Total Medicare Standardized Payment Amount | 198403.24 |
| 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 | 217 |
| Number Of Medical Services | 8366 |
| Number Of Medicare Beneficiaries With Medical Services | 4994 |
| Total Medical Submitted Charge Amount | 1148695 |
| Total Medical Medicare Allowed Amount | 258273.57 |
| Total Medical Medicare Payment Amount | 193716.85 |
| Total Medical Medicare Standardized Payment Amount | 198403.24 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 909 |
| Number Of Beneficiaries Age 65 to 74 | 1799 |
| Number Of Beneficiaries Age 75 to 84 | 1437 |
| Number Of Beneficiaries Age Greater 84 | 849 |
| Number Of Female Beneficiaries | 3117 |
| Number Of Male Beneficiaries | 1877 |
| Number Of Non Hispanic White Beneficiaries | 4209 |
| Number Of Black or African American Beneficiaries | 41 |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | 492 |
| Number Of American Indian Alaska Native Beneficiaries | 183 |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3582 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1412 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3891 |