| National Provider Identifier [NPI]: | 1538145362 |
| Last Name Of The Provider | HLINKA |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 215 WEST JANSS ROAD |
| Street Address 2 Of The Provider | RADIOLOGY DEPARTMENT |
| City Of The Provider | THOUSAND OAKS |
| Zip Code Of The Provider | 91360 |
| 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 | 236 |
| Number Of Services | 30568 |
| Number Of Medicare Beneficiaries | 3640 |
| Total Submitted Charge Amount | 1888206.5 |
| Total Medicare Allowed Amount | 557700.79 |
| Total Medicare Payment Amount | 429517.87 |
| Total Medicare Standardized Payment Amount | 403969.07 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 23355 |
| Number Of Medicare Beneficiaries With Drug Services | 242 |
| Total Drug Submitted ChargeAmount | 23355 |
| Total Drug Medicare AllowedAmount | 6035.65 |
| Total Drug Medicare PaymentAmount | 4548.48 |
| Total Drug Medicare Standardized Payment Amount | 4548.48 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 234 |
| Number Of Medical Services | 7213 |
| Number Of Medicare Beneficiaries With Medical Services | 3640 |
| Total Medical Submitted Charge Amount | 1864851.5 |
| Total Medical Medicare Allowed Amount | 551665.14 |
| Total Medical Medicare Payment Amount | 424969.39 |
| Total Medical Medicare Standardized Payment Amount | 399420.59 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 249 |
| Number Of Beneficiaries Age 65 to 74 | 1316 |
| Number Of Beneficiaries Age 75 to 84 | 1193 |
| Number Of Beneficiaries Age Greater 84 | 882 |
| Number Of Female Beneficiaries | 2146 |
| Number Of Male Beneficiaries | 1494 |
| Number Of Non Hispanic White Beneficiaries | 3167 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 143 |
| Number Of Hispanic Beneficiaries | 213 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 73 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3148 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 492 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6397 |