| National Provider Identifier [NPI]: | 1861459216 |
| Last Name Of The Provider | NAGATA |
| First Name Of The Provider | FRED |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | DPM |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1191 E HERNDON AVE |
| Street Address 2 Of The Provider | STE 101 |
| City Of The Provider | FRESNO |
| Zip Code Of The Provider | 937203164 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Podiatry |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 32 |
| Number Of Services | 3614 |
| Number Of Medicare Beneficiaries | 1231 |
| Total Submitted Charge Amount | 195255 |
| Total Medicare Allowed Amount | 173172.07 |
| Total Medicare Payment Amount | 123319.36 |
| Total Medicare Standardized Payment Amount | 120507.78 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 128 |
| Number Of Medicare Beneficiaries With Drug Services | 83 |
| Total Drug Submitted ChargeAmount | 1536 |
| Total Drug Medicare AllowedAmount | 735.37 |
| Total Drug Medicare PaymentAmount | 545.48 |
| Total Drug Medicare Standardized Payment Amount | 545.48 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 31 |
| Number Of Medical Services | 3486 |
| Number Of Medicare Beneficiaries With Medical Services | 1231 |
| Total Medical Submitted Charge Amount | 193719 |
| Total Medical Medicare Allowed Amount | 172436.7 |
| Total Medical Medicare Payment Amount | 122773.88 |
| Total Medical Medicare Standardized Payment Amount | 119962.3 |
| Average Age Of Beneficiaries | 80 |
| Number Of Beneficiaries Age Less65 | 118 |
| Number Of Beneficiaries Age 65 to 74 | 250 |
| Number Of Beneficiaries Age 75 to 84 | 321 |
| Number Of Beneficiaries Age Greater 84 | 542 |
| Number Of Female Beneficiaries | 779 |
| Number Of Male Beneficiaries | 452 |
| Number Of Non Hispanic White Beneficiaries | 805 |
| Number Of Black or African American Beneficiaries | 23 |
| Number Of AsianPacific Islander Beneficiaries | 90 |
| Number Of Hispanic Beneficiaries | 289 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 754 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 477 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 36 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.597 |