| National Provider Identifier [NPI]: | 1336168665 |
| Last Name Of The Provider | CHILD |
| First Name Of The Provider | JEFFREY |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2301 BAHAMAS DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | BAKERSFIELD |
| Zip Code Of The Provider | 933090663 |
| 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 | 232 |
| Number Of Services | 7257 |
| Number Of Medicare Beneficiaries | 3656 |
| Total Submitted Charge Amount | 634940.33 |
| Total Medicare Allowed Amount | 227610.65 |
| Total Medicare Payment Amount | 166876.94 |
| Total Medicare Standardized Payment Amount | 164164.18 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 388 |
| Number Of Medicare Beneficiaries With Drug Services | 11 |
| Total Drug Submitted ChargeAmount | 2575.65 |
| Total Drug Medicare AllowedAmount | 1178.07 |
| Total Drug Medicare PaymentAmount | 923.6 |
| Total Drug Medicare Standardized Payment Amount | 923.6 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 227 |
| Number Of Medical Services | 6869 |
| Number Of Medicare Beneficiaries With Medical Services | 3656 |
| Total Medical Submitted Charge Amount | 632364.68 |
| Total Medical Medicare Allowed Amount | 226432.58 |
| Total Medical Medicare Payment Amount | 165953.34 |
| Total Medical Medicare Standardized Payment Amount | 163240.58 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 920 |
| Number Of Beneficiaries Age 65 to 74 | 1299 |
| Number Of Beneficiaries Age 75 to 84 | 923 |
| Number Of Beneficiaries Age Greater 84 | 514 |
| Number Of Female Beneficiaries | 2198 |
| Number Of Male Beneficiaries | 1458 |
| Number Of Non Hispanic White Beneficiaries | 2231 |
| Number Of Black or African American Beneficiaries | 249 |
| Number Of AsianPacific Islander Beneficiaries | 122 |
| Number Of Hispanic Beneficiaries | 997 |
| Number Of American Indian Alaska Native Beneficiaries | 30 |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1897 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1759 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.0719 |