| National Provider Identifier [NPI]: | 1790755460 |
| Last Name Of The Provider | PALOS |
| First Name Of The Provider | MIGUEL |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 612 W DUARTE RD |
| Street Address 2 Of The Provider | STE 101 ARCADIA RADIOLOGY MEDICAL GROUP |
| City Of The Provider | ARCADIA |
| Zip Code Of The Provider | 910079220 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Interventional Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 235 |
| Number Of Services | 13989 |
| Number Of Medicare Beneficiaries | 5244 |
| Total Submitted Charge Amount | 1621073.19 |
| Total Medicare Allowed Amount | 457957.43 |
| Total Medicare Payment Amount | 353781.11 |
| Total Medicare Standardized Payment Amount | 326224.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 3235 |
| Number Of Medicare Beneficiaries With Drug Services | 48 |
| Total Drug Submitted ChargeAmount | 1729.25 |
| Total Drug Medicare AllowedAmount | 864.94 |
| Total Drug Medicare PaymentAmount | 678.2 |
| Total Drug Medicare Standardized Payment Amount | 678.2 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 231 |
| Number Of Medical Services | 10754 |
| Number Of Medicare Beneficiaries With Medical Services | 5244 |
| Total Medical Submitted Charge Amount | 1619343.94 |
| Total Medical Medicare Allowed Amount | 457092.49 |
| Total Medical Medicare Payment Amount | 353102.91 |
| Total Medical Medicare Standardized Payment Amount | 325546.42 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 632 |
| Number Of Beneficiaries Age 65 to 74 | 1543 |
| Number Of Beneficiaries Age 75 to 84 | 1633 |
| Number Of Beneficiaries Age Greater 84 | 1436 |
| Number Of Female Beneficiaries | 3234 |
| Number Of Male Beneficiaries | 2010 |
| Number Of Non Hispanic White Beneficiaries | 2331 |
| Number Of Black or African American Beneficiaries | 209 |
| Number Of AsianPacific Islander Beneficiaries | 1279 |
| Number Of Hispanic Beneficiaries | 1303 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2232 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3012 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 31 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 20 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.2138 |