| National Provider Identifier [NPI]: | 1194755785 |
| Last Name Of The Provider | CIVALIER |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2510 AIRPARK DR |
| Street Address 2 Of The Provider | SUITE 201 |
| City Of The Provider | REDDING |
| Zip Code Of The Provider | 960012449 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 119 |
| Number Of Services | 14051 |
| Number Of Medicare Beneficiaries | 1784 |
| Total Submitted Charge Amount | 874630.9 |
| Total Medicare Allowed Amount | 704717.76 |
| Total Medicare Payment Amount | 550472.77 |
| Total Medicare Standardized Payment Amount | 532492.05 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 17 |
| Number Of Drug Services | 5062 |
| Number Of Medicare Beneficiaries With Drug Services | 740 |
| Total Drug Submitted ChargeAmount | 180548.4 |
| Total Drug Medicare AllowedAmount | 158754.94 |
| Total Drug Medicare PaymentAmount | 131774.56 |
| Total Drug Medicare Standardized Payment Amount | 131774.56 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 102 |
| Number Of Medical Services | 8989 |
| Number Of Medicare Beneficiaries With Medical Services | 1784 |
| Total Medical Submitted Charge Amount | 694082.5 |
| Total Medical Medicare Allowed Amount | 545962.82 |
| Total Medical Medicare Payment Amount | 418698.21 |
| Total Medical Medicare Standardized Payment Amount | 400717.49 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 108 |
| Number Of Beneficiaries Age 65 to 74 | 900 |
| Number Of Beneficiaries Age 75 to 84 | 549 |
| Number Of Beneficiaries Age Greater 84 | 227 |
| Number Of Female Beneficiaries | 1060 |
| Number Of Male Beneficiaries | 724 |
| Number Of Non Hispanic White Beneficiaries | 1690 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 50 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1745 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 39 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 3 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 10 |
| Percent Of With Chronic Kidney Disease | 11 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 8 |
| Percent Of With Depression | 12 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 37 |
| Percent Of With Hypertension | 46 |
| Percent Of With Ischemic Heart Disease | 20 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 24 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.8424 |