| National Provider Identifier [NPI]: | 1225072374 |
| Last Name Of The Provider | RAGSDALE |
| First Name Of The Provider | BRUCE |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3701 S HIGUERA ST |
| Street Address 2 Of The Provider | STE 200 |
| City Of The Provider | SAN LUIS OBISPO |
| Zip Code Of The Provider | 934017462 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 15 |
| Number Of Services | 8800 |
| Number Of Medicare Beneficiaries | 5163 |
| Total Submitted Charge Amount | 859171 |
| Total Medicare Allowed Amount | 386597.13 |
| Total Medicare Payment Amount | 299560.76 |
| Total Medicare Standardized Payment Amount | 247248.06 |
| 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 | 15 |
| Number Of Medical Services | 8800 |
| Number Of Medicare Beneficiaries With Medical Services | 5163 |
| Total Medical Submitted Charge Amount | 859171 |
| Total Medical Medicare Allowed Amount | 386597.13 |
| Total Medical Medicare Payment Amount | 299560.76 |
| Total Medical Medicare Standardized Payment Amount | 247248.06 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 198 |
| Number Of Beneficiaries Age 65 to 74 | 2322 |
| Number Of Beneficiaries Age 75 to 84 | 1719 |
| Number Of Beneficiaries Age Greater 84 | 924 |
| Number Of Female Beneficiaries | 2444 |
| Number Of Male Beneficiaries | 2719 |
| Number Of Non Hispanic White Beneficiaries | 4819 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 39 |
| Number Of Hispanic Beneficiaries | 215 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 71 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4854 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 309 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 20 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 56 |
| Percent Of With Ischemic Heart Disease | 25 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.04 |