| National Provider Identifier [NPI]: | 1194928770 |
| Last Name Of The Provider | HANELIN |
| First Name Of The Provider | JOSHUA |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 23929 MCBEAN PKWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | VALENCIA |
| Zip Code Of The Provider | 913554466 |
| 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 | 168 |
| Number Of Services | 14948 |
| Number Of Medicare Beneficiaries | 3413 |
| Total Submitted Charge Amount | 1762398.5 |
| Total Medicare Allowed Amount | 402028.75 |
| Total Medicare Payment Amount | 303917.31 |
| Total Medicare Standardized Payment Amount | 278959 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 9441 |
| Number Of Medicare Beneficiaries With Drug Services | 194 |
| Total Drug Submitted ChargeAmount | 16335.5 |
| Total Drug Medicare AllowedAmount | 3511.45 |
| Total Drug Medicare PaymentAmount | 2729.95 |
| Total Drug Medicare Standardized Payment Amount | 2729.95 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 162 |
| Number Of Medical Services | 5507 |
| Number Of Medicare Beneficiaries With Medical Services | 3411 |
| Total Medical Submitted Charge Amount | 1746063 |
| Total Medical Medicare Allowed Amount | 398517.3 |
| Total Medical Medicare Payment Amount | 301187.36 |
| Total Medical Medicare Standardized Payment Amount | 276229.05 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 257 |
| Number Of Beneficiaries Age 65 to 74 | 1230 |
| Number Of Beneficiaries Age 75 to 84 | 1120 |
| Number Of Beneficiaries Age Greater 84 | 806 |
| Number Of Female Beneficiaries | 1981 |
| Number Of Male Beneficiaries | 1432 |
| Number Of Non Hispanic White Beneficiaries | 2757 |
| Number Of Black or African American Beneficiaries | 126 |
| Number Of AsianPacific Islander Beneficiaries | 169 |
| Number Of Hispanic Beneficiaries | 267 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2734 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 679 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7152 |