| National Provider Identifier [NPI]: | 1558352138 |
| Last Name Of The Provider | SELLERS |
| First Name Of The Provider | RANDALL |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4411 THE 25 WAY NE |
| Street Address 2 Of The Provider | SUITE 150 |
| City Of The Provider | ALBUQUERQUE |
| Zip Code Of The Provider | 871095857 |
| State Code Of The Provider | NM |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 176 |
| Number Of Services | 6518 |
| Number Of Medicare Beneficiaries | 4140 |
| Total Submitted Charge Amount | 415856.5 |
| Total Medicare Allowed Amount | 138111.53 |
| Total Medicare Payment Amount | 105656.34 |
| Total Medicare Standardized Payment Amount | 109065.63 |
| Drug Suppress Indicator | * |
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| Medical SuppressIndicator | # |
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| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 846 |
| Number Of Beneficiaries Age 65 to 74 | 1502 |
| Number Of Beneficiaries Age 75 to 84 | 1186 |
| Number Of Beneficiaries Age Greater 84 | 606 |
| Number Of Female Beneficiaries | 2444 |
| Number Of Male Beneficiaries | 1696 |
| Number Of Non Hispanic White Beneficiaries | 2297 |
| Number Of Black or African American Beneficiaries | 109 |
| Number Of AsianPacific Islander Beneficiaries | 22 |
| Number Of Hispanic Beneficiaries | 1526 |
| Number Of American Indian Alaska Native Beneficiaries | 153 |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2774 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1366 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4643 |