| National Provider Identifier [NPI]: | 1326048018 |
| Last Name Of The Provider | ALTHAUS |
| First Name Of The Provider | SANDRA |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2874 N CARSON ST |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | CARSON CITY |
| Zip Code Of The Provider | 897060251 |
| State Code Of The Provider | NV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 312 |
| Number Of Services | 5489 |
| Number Of Medicare Beneficiaries | 3245 |
| Total Submitted Charge Amount | 678950.06 |
| Total Medicare Allowed Amount | 258198.16 |
| Total Medicare Payment Amount | 190671.6 |
| Total Medicare Standardized Payment Amount | 187622.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 312 |
| Number Of Medical Services | 5489 |
| Number Of Medicare Beneficiaries With Medical Services | 3245 |
| Total Medical Submitted Charge Amount | 678950.06 |
| Total Medical Medicare Allowed Amount | 258198.16 |
| Total Medical Medicare Payment Amount | 190671.6 |
| Total Medical Medicare Standardized Payment Amount | 187622.04 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 419 |
| Number Of Beneficiaries Age 65 to 74 | 1352 |
| Number Of Beneficiaries Age 75 to 84 | 986 |
| Number Of Beneficiaries Age Greater 84 | 488 |
| Number Of Female Beneficiaries | 1818 |
| Number Of Male Beneficiaries | 1427 |
| Number Of Non Hispanic White Beneficiaries | 2927 |
| Number Of Black or African American Beneficiaries | 32 |
| Number Of AsianPacific Islander Beneficiaries | 31 |
| Number Of Hispanic Beneficiaries | 158 |
| Number Of American Indian Alaska Native Beneficiaries | 58 |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2754 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 491 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4728 |