| National Provider Identifier [NPI]: | 1336158567 |
| Last Name Of The Provider | HARTWICK |
| First Name Of The Provider | FRANK |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1121 W VINE STREET |
| Street Address 2 Of The Provider | SUITE 15 |
| City Of The Provider | LODI |
| Zip Code Of The Provider | 95240 |
| 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 | 190 |
| Number Of Services | 8063 |
| Number Of Medicare Beneficiaries | 3588 |
| Total Submitted Charge Amount | 1515037 |
| Total Medicare Allowed Amount | 383262.49 |
| Total Medicare Payment Amount | 303446.75 |
| Total Medicare Standardized Payment Amount | 293538.98 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 637 |
| Number Of Medicare Beneficiaries With Drug Services | 37 |
| Total Drug Submitted ChargeAmount | 4499 |
| Total Drug Medicare AllowedAmount | 1257.75 |
| Total Drug Medicare PaymentAmount | 986.11 |
| Total Drug Medicare Standardized Payment Amount | 986.11 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 187 |
| Number Of Medical Services | 7426 |
| Number Of Medicare Beneficiaries With Medical Services | 3588 |
| Total Medical Submitted Charge Amount | 1510538 |
| Total Medical Medicare Allowed Amount | 382004.74 |
| Total Medical Medicare Payment Amount | 302460.64 |
| Total Medical Medicare Standardized Payment Amount | 292552.87 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 486 |
| Number Of Beneficiaries Age 65 to 74 | 1269 |
| Number Of Beneficiaries Age 75 to 84 | 1131 |
| Number Of Beneficiaries Age Greater 84 | 702 |
| Number Of Female Beneficiaries | 2301 |
| Number Of Male Beneficiaries | 1287 |
| Number Of Non Hispanic White Beneficiaries | 2754 |
| Number Of Black or African American Beneficiaries | 44 |
| Number Of AsianPacific Islander Beneficiaries | 336 |
| Number Of Hispanic Beneficiaries | 383 |
| Number Of American Indian Alaska Native Beneficiaries | 12 |
| Number Of Beneficiaries With Race Not Else where Classified | 59 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2522 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1066 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.5188 |