| National Provider Identifier [NPI]: | 1639274368 |
| Last Name Of The Provider | HANSEN |
| First Name Of The Provider | STEVEN |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3365 G STREET |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | MERCED |
| Zip Code Of The Provider | 953400996 |
| 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 | 84022 |
| Number Of Medicare Beneficiaries | 6381 |
| Total Submitted Charge Amount | 6788912 |
| Total Medicare Allowed Amount | 2098798.75 |
| Total Medicare Payment Amount | 1611839.92 |
| Total Medicare Standardized Payment Amount | 1551945.43 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 70162 |
| Number Of Medicare Beneficiaries With Drug Services | 1080 |
| Total Drug Submitted ChargeAmount | 347900 |
| Total Drug Medicare AllowedAmount | 23614.91 |
| Total Drug Medicare PaymentAmount | 18371.24 |
| Total Drug Medicare Standardized Payment Amount | 18371.24 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 221 |
| Number Of Medical Services | 13860 |
| Number Of Medicare Beneficiaries With Medical Services | 6381 |
| Total Medical Submitted Charge Amount | 6441012 |
| Total Medical Medicare Allowed Amount | 2075183.84 |
| Total Medical Medicare Payment Amount | 1593468.68 |
| Total Medical Medicare Standardized Payment Amount | 1533574.19 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1017 |
| Number Of Beneficiaries Age 65 to 74 | 2849 |
| Number Of Beneficiaries Age 75 to 84 | 1840 |
| Number Of Beneficiaries Age Greater 84 | 675 |
| Number Of Female Beneficiaries | 4238 |
| Number Of Male Beneficiaries | 2143 |
| Number Of Non Hispanic White Beneficiaries | 3889 |
| Number Of Black or African American Beneficiaries | 300 |
| Number Of AsianPacific Islander Beneficiaries | 196 |
| Number Of Hispanic Beneficiaries | 1885 |
| Number Of American Indian Alaska Native Beneficiaries | 30 |
| Number Of Beneficiaries With Race Not Else where Classified | 81 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4312 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2069 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.2577 |