| National Provider Identifier [NPI]: | 1366413387 |
| Last Name Of The Provider | TANDOC |
| First Name Of The Provider | JOSE |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 612 W DUARTE RD STE 101 |
| Street Address 2 Of The Provider | ARCADIA RADIOLOGY MEDICAL GROUP |
| City Of The Provider | ARCADIA |
| Zip Code Of The Provider | 910079220 |
| 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 | 250 |
| Number Of Services | 12243 |
| Number Of Medicare Beneficiaries | 4185 |
| Total Submitted Charge Amount | 1436652.61 |
| Total Medicare Allowed Amount | 411651.14 |
| Total Medicare Payment Amount | 316911.58 |
| Total Medicare Standardized Payment Amount | 291691.3 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 3699 |
| Number Of Medicare Beneficiaries With Drug Services | 87 |
| Total Drug Submitted ChargeAmount | 2995.25 |
| Total Drug Medicare AllowedAmount | 2284.54 |
| Total Drug Medicare PaymentAmount | 1791.14 |
| Total Drug Medicare Standardized Payment Amount | 1791.14 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 245 |
| Number Of Medical Services | 8544 |
| Number Of Medicare Beneficiaries With Medical Services | 4185 |
| Total Medical Submitted Charge Amount | 1433657.36 |
| Total Medical Medicare Allowed Amount | 409366.6 |
| Total Medical Medicare Payment Amount | 315120.44 |
| Total Medical Medicare Standardized Payment Amount | 289900.16 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 449 |
| Number Of Beneficiaries Age 65 to 74 | 1205 |
| Number Of Beneficiaries Age 75 to 84 | 1359 |
| Number Of Beneficiaries Age Greater 84 | 1172 |
| Number Of Female Beneficiaries | 2554 |
| Number Of Male Beneficiaries | 1631 |
| Number Of Non Hispanic White Beneficiaries | 1945 |
| Number Of Black or African American Beneficiaries | 149 |
| Number Of AsianPacific Islander Beneficiaries | 1127 |
| Number Of Hispanic Beneficiaries | 869 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2029 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2156 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 33 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 49 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 51 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 21 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.3939 |