| National Provider Identifier [NPI]: | 1104045889 |
| Last Name Of The Provider | STENGEL |
| First Name Of The Provider | JOSEPH |
| 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 | 1108 BASICH BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | ABERDEEN |
| Zip Code Of The Provider | 985201066 |
| State Code Of The Provider | WA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 216 |
| Number Of Services | 10277 |
| Number Of Medicare Beneficiaries | 3994 |
| Total Submitted Charge Amount | 994761.54 |
| Total Medicare Allowed Amount | 320348.62 |
| Total Medicare Payment Amount | 240806.17 |
| Total Medicare Standardized Payment Amount | 245136.55 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1873 |
| Number Of Medicare Beneficiaries With Drug Services | 23 |
| Total Drug Submitted ChargeAmount | 1602.15 |
| Total Drug Medicare AllowedAmount | 883.16 |
| Total Drug Medicare PaymentAmount | 692.39 |
| Total Drug Medicare Standardized Payment Amount | 692.39 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 213 |
| Number Of Medical Services | 8404 |
| Number Of Medicare Beneficiaries With Medical Services | 3993 |
| Total Medical Submitted Charge Amount | 993159.39 |
| Total Medical Medicare Allowed Amount | 319465.46 |
| Total Medical Medicare Payment Amount | 240113.78 |
| Total Medical Medicare Standardized Payment Amount | 244444.16 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 738 |
| Number Of Beneficiaries Age 65 to 74 | 1645 |
| Number Of Beneficiaries Age 75 to 84 | 1098 |
| Number Of Beneficiaries Age Greater 84 | 513 |
| Number Of Female Beneficiaries | 2474 |
| Number Of Male Beneficiaries | 1520 |
| Number Of Non Hispanic White Beneficiaries | 3706 |
| Number Of Black or African American Beneficiaries | 20 |
| Number Of AsianPacific Islander Beneficiaries | 33 |
| Number Of Hispanic Beneficiaries | 56 |
| Number Of American Indian Alaska Native Beneficiaries | 125 |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2986 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1008 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 33 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.258 |