| National Provider Identifier [NPI]: | 1881672392 |
| Last Name Of The Provider | SHELTON |
| First Name Of The Provider | PHILIP |
| 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 | 440 PLUMAS BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | YUBA CITY |
| Zip Code Of The Provider | 959915071 |
| 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 | 224 |
| Number Of Services | 40115 |
| Number Of Medicare Beneficiaries | 4635 |
| Total Submitted Charge Amount | 2928889.72 |
| Total Medicare Allowed Amount | 708793.97 |
| Total Medicare Payment Amount | 557981.45 |
| Total Medicare Standardized Payment Amount | 529824.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 31941 |
| Number Of Medicare Beneficiaries With Drug Services | 394 |
| Total Drug Submitted ChargeAmount | 59403.72 |
| Total Drug Medicare AllowedAmount | 17105.57 |
| Total Drug Medicare PaymentAmount | 13379.22 |
| Total Drug Medicare Standardized Payment Amount | 13379.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 216 |
| Number Of Medical Services | 8174 |
| Number Of Medicare Beneficiaries With Medical Services | 4632 |
| Total Medical Submitted Charge Amount | 2869486 |
| Total Medical Medicare Allowed Amount | 691688.4 |
| Total Medical Medicare Payment Amount | 544602.23 |
| Total Medical Medicare Standardized Payment Amount | 516445.03 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 893 |
| Number Of Beneficiaries Age 65 to 74 | 1912 |
| Number Of Beneficiaries Age 75 to 84 | 1291 |
| Number Of Beneficiaries Age Greater 84 | 539 |
| Number Of Female Beneficiaries | 3053 |
| Number Of Male Beneficiaries | 1582 |
| Number Of Non Hispanic White Beneficiaries | 3655 |
| Number Of Black or African American Beneficiaries | 93 |
| Number Of AsianPacific Islander Beneficiaries | 268 |
| Number Of Hispanic Beneficiaries | 491 |
| Number Of American Indian Alaska Native Beneficiaries | 67 |
| Number Of Beneficiaries With Race Not Else where Classified | 61 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3236 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1399 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3721 |