| National Provider Identifier [NPI]: | 1528008125 |
| Last Name Of The Provider | BENEDICT |
| First Name Of The Provider | MATTHEW |
| 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 | 1516 COTNER AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | LOS ANGELES |
| Zip Code Of The Provider | 900253303 |
| 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 | 114 |
| Number Of Services | 63310 |
| Number Of Medicare Beneficiaries | 3151 |
| Total Submitted Charge Amount | 2318636.45 |
| Total Medicare Allowed Amount | 554547.52 |
| Total Medicare Payment Amount | 414639.27 |
| Total Medicare Standardized Payment Amount | 388814.77 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 58911 |
| Number Of Medicare Beneficiaries With Drug Services | 541 |
| Total Drug Submitted ChargeAmount | 95667.99 |
| Total Drug Medicare AllowedAmount | 12583.09 |
| Total Drug Medicare PaymentAmount | 9172.94 |
| Total Drug Medicare Standardized Payment Amount | 9172.94 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 107 |
| Number Of Medical Services | 4399 |
| Number Of Medicare Beneficiaries With Medical Services | 3150 |
| Total Medical Submitted Charge Amount | 2222968.46 |
| Total Medical Medicare Allowed Amount | 541964.43 |
| Total Medical Medicare Payment Amount | 405466.33 |
| Total Medical Medicare Standardized Payment Amount | 379641.83 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 339 |
| Number Of Beneficiaries Age 65 to 74 | 1319 |
| Number Of Beneficiaries Age 75 to 84 | 1068 |
| Number Of Beneficiaries Age Greater 84 | 425 |
| Number Of Female Beneficiaries | 1718 |
| Number Of Male Beneficiaries | 1433 |
| Number Of Non Hispanic White Beneficiaries | 2230 |
| Number Of Black or African American Beneficiaries | 294 |
| Number Of AsianPacific Islander Beneficiaries | 215 |
| Number Of Hispanic Beneficiaries | 301 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1962 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1189 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.3435 |