| National Provider Identifier [NPI]: | 1659429603 |
| Last Name Of The Provider | MATH |
| First Name Of The Provider | EDWARD |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1867 E FIR AVE |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | FRESNO |
| Zip Code Of The Provider | 937203808 |
| 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 | 202 |
| Number Of Services | 16773 |
| Number Of Medicare Beneficiaries | 3942 |
| Total Submitted Charge Amount | 1159774.8 |
| Total Medicare Allowed Amount | 258979.04 |
| Total Medicare Payment Amount | 206821.15 |
| Total Medicare Standardized Payment Amount | 202128.32 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 10387 |
| Number Of Medicare Beneficiaries With Drug Services | 131 |
| Total Drug Submitted ChargeAmount | 10775 |
| Total Drug Medicare AllowedAmount | 2665.1 |
| Total Drug Medicare PaymentAmount | 2081.42 |
| Total Drug Medicare Standardized Payment Amount | 2081.42 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 197 |
| Number Of Medical Services | 6386 |
| Number Of Medicare Beneficiaries With Medical Services | 3942 |
| Total Medical Submitted Charge Amount | 1148999.8 |
| Total Medical Medicare Allowed Amount | 256313.94 |
| Total Medical Medicare Payment Amount | 204739.73 |
| Total Medical Medicare Standardized Payment Amount | 200046.9 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 639 |
| Number Of Beneficiaries Age 65 to 74 | 1542 |
| Number Of Beneficiaries Age 75 to 84 | 1151 |
| Number Of Beneficiaries Age Greater 84 | 610 |
| Number Of Female Beneficiaries | 2671 |
| Number Of Male Beneficiaries | 1271 |
| Number Of Non Hispanic White Beneficiaries | 2353 |
| Number Of Black or African American Beneficiaries | 237 |
| Number Of AsianPacific Islander Beneficiaries | 258 |
| Number Of Hispanic Beneficiaries | 994 |
| Number Of American Indian Alaska Native Beneficiaries | 51 |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2332 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1610 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 17 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.882 |