| National Provider Identifier [NPI]: | 1265598585 |
| Last Name Of The Provider | RAYMOND |
| First Name Of The Provider | ERIC |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6297 N FRESNO ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | FRESNO |
| Zip Code Of The Provider | 937105209 |
| 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 | 178 |
| Number Of Services | 13867 |
| Number Of Medicare Beneficiaries | 3781 |
| Total Submitted Charge Amount | 1856982.2 |
| Total Medicare Allowed Amount | 376841.56 |
| Total Medicare Payment Amount | 282938.05 |
| Total Medicare Standardized Payment Amount | 274338.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 8838 |
| Number Of Medicare Beneficiaries With Drug Services | 145 |
| Total Drug Submitted ChargeAmount | 9435 |
| Total Drug Medicare AllowedAmount | 2578.72 |
| Total Drug Medicare PaymentAmount | 2018.3 |
| Total Drug Medicare Standardized Payment Amount | 2018.3 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 167 |
| Number Of Medical Services | 5029 |
| Number Of Medicare Beneficiaries With Medical Services | 3781 |
| Total Medical Submitted Charge Amount | 1847547.2 |
| Total Medical Medicare Allowed Amount | 374262.84 |
| Total Medical Medicare Payment Amount | 280919.75 |
| Total Medical Medicare Standardized Payment Amount | 272320.32 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 633 |
| Number Of Beneficiaries Age 65 to 74 | 1627 |
| Number Of Beneficiaries Age 75 to 84 | 986 |
| Number Of Beneficiaries Age Greater 84 | 535 |
| Number Of Female Beneficiaries | 2315 |
| Number Of Male Beneficiaries | 1466 |
| Number Of Non Hispanic White Beneficiaries | 2410 |
| Number Of Black or African American Beneficiaries | 195 |
| Number Of AsianPacific Islander Beneficiaries | 259 |
| Number Of Hispanic Beneficiaries | 854 |
| Number Of American Indian Alaska Native Beneficiaries | 19 |
| Number Of Beneficiaries With Race Not Else where Classified | 44 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2410 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1371 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 17 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.577 |