| National Provider Identifier [NPI]: | 1477629756 |
| Last Name Of The Provider | WALTER |
| First Name Of The Provider | JOSEPH |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 795 EL CAMINO REAL |
| Street Address 2 Of The Provider | |
| City Of The Provider | PALO ALTO |
| Zip Code Of The Provider | 943012302 |
| 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 | 87 |
| Number Of Services | 8146 |
| Number Of Medicare Beneficiaries | 4452 |
| Total Submitted Charge Amount | 937710.75 |
| Total Medicare Allowed Amount | 291079.74 |
| Total Medicare Payment Amount | 206860.25 |
| Total Medicare Standardized Payment Amount | 166370.02 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1459 |
| Number Of Medicare Beneficiaries With Drug Services | 85 |
| Total Drug Submitted ChargeAmount | 3430 |
| Total Drug Medicare AllowedAmount | 763.83 |
| Total Drug Medicare PaymentAmount | 591.7 |
| Total Drug Medicare Standardized Payment Amount | 591.7 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 84 |
| Number Of Medical Services | 6687 |
| Number Of Medicare Beneficiaries With Medical Services | 4452 |
| Total Medical Submitted Charge Amount | 934280.75 |
| Total Medical Medicare Allowed Amount | 290315.91 |
| Total Medical Medicare Payment Amount | 206268.55 |
| Total Medical Medicare Standardized Payment Amount | 165778.32 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 249 |
| Number Of Beneficiaries Age 65 to 74 | 1995 |
| Number Of Beneficiaries Age 75 to 84 | 1428 |
| Number Of Beneficiaries Age Greater 84 | 780 |
| Number Of Female Beneficiaries | 2807 |
| Number Of Male Beneficiaries | 1645 |
| Number Of Non Hispanic White Beneficiaries | 3285 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 623 |
| Number Of Hispanic Beneficiaries | 250 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 150 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3810 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 642 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 20 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 53 |
| Percent Of With Ischemic Heart Disease | 23 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.0563 |