| National Provider Identifier [NPI]: | 1619946563 |
| Last Name Of The Provider | PASTRANO |
| First Name Of The Provider | JOE |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 842 E MAIN ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | MEDFORD |
| Zip Code Of The Provider | 975047134 |
| State Code Of The Provider | OR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 216 |
| Number Of Services | 17308 |
| Number Of Medicare Beneficiaries | 3600 |
| Total Submitted Charge Amount | 1939100.69 |
| Total Medicare Allowed Amount | 478325.37 |
| Total Medicare Payment Amount | 367699.87 |
| Total Medicare Standardized Payment Amount | 376657.58 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 12164 |
| Number Of Medicare Beneficiaries With Drug Services | 157 |
| Total Drug Submitted ChargeAmount | 27348.38 |
| Total Drug Medicare AllowedAmount | 5261.54 |
| Total Drug Medicare PaymentAmount | 4125 |
| Total Drug Medicare Standardized Payment Amount | 4125 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 211 |
| Number Of Medical Services | 5144 |
| Number Of Medicare Beneficiaries With Medical Services | 3600 |
| Total Medical Submitted Charge Amount | 1911752.31 |
| Total Medical Medicare Allowed Amount | 473063.83 |
| Total Medical Medicare Payment Amount | 363574.87 |
| Total Medical Medicare Standardized Payment Amount | 372532.58 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 611 |
| Number Of Beneficiaries Age 65 to 74 | 1484 |
| Number Of Beneficiaries Age 75 to 84 | 1011 |
| Number Of Beneficiaries Age Greater 84 | 494 |
| Number Of Female Beneficiaries | 1916 |
| Number Of Male Beneficiaries | 1684 |
| Number Of Non Hispanic White Beneficiaries | 3395 |
| Number Of Black or African American Beneficiaries | 12 |
| Number Of AsianPacific Islander Beneficiaries | 22 |
| Number Of Hispanic Beneficiaries | 91 |
| Number Of American Indian Alaska Native Beneficiaries | 40 |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2800 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 800 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 47 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4139 |