| National Provider Identifier [NPI]: | 1013117977 |
| Last Name Of The Provider | HORN |
| First Name Of The Provider | GEOFFREY |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 10 WOODLAND RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | SAINT HELENA |
| Zip Code Of The Provider | 945749554 |
| 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 | 207 |
| Number Of Services | 8599 |
| Number Of Medicare Beneficiaries | 3796 |
| Total Submitted Charge Amount | 1053400 |
| Total Medicare Allowed Amount | 249856.84 |
| Total Medicare Payment Amount | 182752.7 |
| Total Medicare Standardized Payment Amount | 176222.34 |
| 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 | 207 |
| Number Of Medical Services | 8599 |
| Number Of Medicare Beneficiaries With Medical Services | 3796 |
| Total Medical Submitted Charge Amount | 1053400 |
| Total Medical Medicare Allowed Amount | 249856.84 |
| Total Medical Medicare Payment Amount | 182752.7 |
| Total Medical Medicare Standardized Payment Amount | 176222.34 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 735 |
| Number Of Beneficiaries Age 65 to 74 | 1585 |
| Number Of Beneficiaries Age 75 to 84 | 975 |
| Number Of Beneficiaries Age Greater 84 | 501 |
| Number Of Female Beneficiaries | 2194 |
| Number Of Male Beneficiaries | 1602 |
| Number Of Non Hispanic White Beneficiaries | 3300 |
| Number Of Black or African American Beneficiaries | 126 |
| Number Of AsianPacific Islander Beneficiaries | 46 |
| Number Of Hispanic Beneficiaries | 240 |
| Number Of American Indian Alaska Native Beneficiaries | 37 |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2624 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1172 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.3935 |