| National Provider Identifier [NPI]: | 1396714937 |
| Last Name Of The Provider | KRUEGER |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7033 N FRESNO ST |
| Street Address 2 Of The Provider | STE 301 |
| City Of The Provider | FRESNO |
| Zip Code Of The Provider | 93720 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 69 |
| Number Of Services | 27739 |
| Number Of Medicare Beneficiaries | 2185 |
| Total Submitted Charge Amount | 13630334 |
| Total Medicare Allowed Amount | 3913901.86 |
| Total Medicare Payment Amount | 2997397.58 |
| Total Medicare Standardized Payment Amount | 2901863.94 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 8716 |
| Number Of Medicare Beneficiaries With Drug Services | 1402 |
| Total Drug Submitted ChargeAmount | 414827 |
| Total Drug Medicare AllowedAmount | 9743.94 |
| Total Drug Medicare PaymentAmount | 7541.86 |
| Total Drug Medicare Standardized Payment Amount | 7541.86 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 66 |
| Number Of Medical Services | 19023 |
| Number Of Medicare Beneficiaries With Medical Services | 2185 |
| Total Medical Submitted Charge Amount | 13215507 |
| Total Medical Medicare Allowed Amount | 3904157.92 |
| Total Medical Medicare Payment Amount | 2989855.72 |
| Total Medical Medicare Standardized Payment Amount | 2894322.08 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 332 |
| Number Of Beneficiaries Age 65 to 74 | 1023 |
| Number Of Beneficiaries Age 75 to 84 | 612 |
| Number Of Beneficiaries Age Greater 84 | 218 |
| Number Of Female Beneficiaries | 1207 |
| Number Of Male Beneficiaries | 978 |
| Number Of Non Hispanic White Beneficiaries | 1244 |
| Number Of Black or African American Beneficiaries | 96 |
| Number Of AsianPacific Islander Beneficiaries | 66 |
| Number Of Hispanic Beneficiaries | 739 |
| Number Of American Indian Alaska Native Beneficiaries | 15 |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1430 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 755 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 72 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.2147 |