| National Provider Identifier [NPI]: | 1336113331 |
| Last Name Of The Provider | CORBETT |
| First Name Of The Provider | HARRY |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1310 LAS TABLAS RD |
| Street Address 2 Of The Provider | SUITE 103 |
| City Of The Provider | TEMPLETON |
| Zip Code Of The Provider | 934659737 |
| 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 | 194 |
| Number Of Services | 13121 |
| Number Of Medicare Beneficiaries | 2662 |
| Total Submitted Charge Amount | 905213.34 |
| Total Medicare Allowed Amount | 243140.28 |
| Total Medicare Payment Amount | 183983.02 |
| Total Medicare Standardized Payment Amount | 178821.2 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 8825 |
| Number Of Medicare Beneficiaries With Drug Services | 121 |
| Total Drug Submitted ChargeAmount | 21531 |
| Total Drug Medicare AllowedAmount | 2737.06 |
| Total Drug Medicare PaymentAmount | 2114.83 |
| Total Drug Medicare Standardized Payment Amount | 2114.83 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 189 |
| Number Of Medical Services | 4296 |
| Number Of Medicare Beneficiaries With Medical Services | 2661 |
| Total Medical Submitted Charge Amount | 883682.34 |
| Total Medical Medicare Allowed Amount | 240403.22 |
| Total Medical Medicare Payment Amount | 181868.19 |
| Total Medical Medicare Standardized Payment Amount | 176706.37 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 272 |
| Number Of Beneficiaries Age 65 to 74 | 1144 |
| Number Of Beneficiaries Age 75 to 84 | 795 |
| Number Of Beneficiaries Age Greater 84 | 451 |
| Number Of Female Beneficiaries | 1617 |
| Number Of Male Beneficiaries | 1045 |
| Number Of Non Hispanic White Beneficiaries | 2291 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 52 |
| Number Of Hispanic Beneficiaries | 247 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2233 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 429 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.2873 |