| National Provider Identifier [NPI]: | 1255375879 |
| Last Name Of The Provider | DICAPUA |
| First Name Of The Provider | LAWRENCE |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 890 W STETSON AVE STE B |
| Street Address 2 Of The Provider | APEX RADIOLOGY MEDICAL GROUP, INC. |
| City Of The Provider | HEMET |
| Zip Code Of The Provider | 925437311 |
| 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 | 148 |
| Number Of Services | 11847 |
| Number Of Medicare Beneficiaries | 2434 |
| Total Submitted Charge Amount | 690304 |
| Total Medicare Allowed Amount | 263525.47 |
| Total Medicare Payment Amount | 200112.03 |
| Total Medicare Standardized Payment Amount | 190476.55 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 7141 |
| Number Of Medicare Beneficiaries With Drug Services | 93 |
| Total Drug Submitted ChargeAmount | 7231 |
| Total Drug Medicare AllowedAmount | 1348.73 |
| Total Drug Medicare PaymentAmount | 1055.77 |
| Total Drug Medicare Standardized Payment Amount | 1055.77 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 146 |
| Number Of Medical Services | 4706 |
| Number Of Medicare Beneficiaries With Medical Services | 2434 |
| Total Medical Submitted Charge Amount | 683073 |
| Total Medical Medicare Allowed Amount | 262176.74 |
| Total Medical Medicare Payment Amount | 199056.26 |
| Total Medical Medicare Standardized Payment Amount | 189420.78 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 442 |
| Number Of Beneficiaries Age 65 to 74 | 707 |
| Number Of Beneficiaries Age 75 to 84 | 773 |
| Number Of Beneficiaries Age Greater 84 | 512 |
| Number Of Female Beneficiaries | 1511 |
| Number Of Male Beneficiaries | 923 |
| Number Of Non Hispanic White Beneficiaries | 1807 |
| Number Of Black or African American Beneficiaries | 131 |
| Number Of AsianPacific Islander Beneficiaries | 61 |
| Number Of Hispanic Beneficiaries | 392 |
| Number Of American Indian Alaska Native Beneficiaries | 20 |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1464 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 970 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 40 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 52 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.9154 |