| National Provider Identifier [NPI]: | 1225215627 |
| Last Name Of The Provider | BARRA |
| First Name Of The Provider | QASIM |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 600 COFFEE RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | MODESTO |
| Zip Code Of The Provider | 953554201 |
| 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 | 159 |
| Number Of Services | 19648 |
| Number Of Medicare Beneficiaries | 2677 |
| Total Submitted Charge Amount | 2561119.32 |
| Total Medicare Allowed Amount | 470838.26 |
| Total Medicare Payment Amount | 364023.1 |
| Total Medicare Standardized Payment Amount | 345505.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 15937 |
| Number Of Medicare Beneficiaries With Drug Services | 252 |
| Total Drug Submitted ChargeAmount | 28289.37 |
| Total Drug Medicare AllowedAmount | 6662.4 |
| Total Drug Medicare PaymentAmount | 5223.2 |
| Total Drug Medicare Standardized Payment Amount | 5223.2 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 152 |
| Number Of Medical Services | 3711 |
| Number Of Medicare Beneficiaries With Medical Services | 2677 |
| Total Medical Submitted Charge Amount | 2532829.95 |
| Total Medical Medicare Allowed Amount | 464175.86 |
| Total Medical Medicare Payment Amount | 358799.9 |
| Total Medical Medicare Standardized Payment Amount | 340282.76 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 586 |
| Number Of Beneficiaries Age 65 to 74 | 1148 |
| Number Of Beneficiaries Age 75 to 84 | 656 |
| Number Of Beneficiaries Age Greater 84 | 287 |
| Number Of Female Beneficiaries | 1825 |
| Number Of Male Beneficiaries | 852 |
| Number Of Non Hispanic White Beneficiaries | 1887 |
| Number Of Black or African American Beneficiaries | 146 |
| Number Of AsianPacific Islander Beneficiaries | 116 |
| Number Of Hispanic Beneficiaries | 460 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1786 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 891 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.2961 |