| National Provider Identifier [NPI]: | 1093754103 |
| Last Name Of The Provider | SCHILLER |
| First Name Of The Provider | VICKI |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2202 WILSHIRE BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | SANTA MONICA |
| Zip Code Of The Provider | 904035706 |
| 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 | 168 |
| Number Of Services | 25475 |
| Number Of Medicare Beneficiaries | 3653 |
| Total Submitted Charge Amount | 1720320.5 |
| Total Medicare Allowed Amount | 429849.4 |
| Total Medicare Payment Amount | 337457.8 |
| Total Medicare Standardized Payment Amount | 307927.2 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 19507 |
| Number Of Medicare Beneficiaries With Drug Services | 250 |
| Total Drug Submitted ChargeAmount | 22243.5 |
| Total Drug Medicare AllowedAmount | 4372.18 |
| Total Drug Medicare PaymentAmount | 3398.28 |
| Total Drug Medicare Standardized Payment Amount | 3398.28 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 165 |
| Number Of Medical Services | 5968 |
| Number Of Medicare Beneficiaries With Medical Services | 3653 |
| Total Medical Submitted Charge Amount | 1698077 |
| Total Medical Medicare Allowed Amount | 425477.22 |
| Total Medical Medicare Payment Amount | 334059.52 |
| Total Medical Medicare Standardized Payment Amount | 304528.92 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 201 |
| Number Of Beneficiaries Age 65 to 74 | 1405 |
| Number Of Beneficiaries Age 75 to 84 | 1245 |
| Number Of Beneficiaries Age Greater 84 | 802 |
| Number Of Female Beneficiaries | 2404 |
| Number Of Male Beneficiaries | 1249 |
| Number Of Non Hispanic White Beneficiaries | 2985 |
| Number Of Black or African American Beneficiaries | 122 |
| Number Of AsianPacific Islander Beneficiaries | 208 |
| Number Of Hispanic Beneficiaries | 225 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3008 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 645 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 17 |
| 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 | 1.4859 |