| National Provider Identifier [NPI]: | 1982654166 |
| Last Name Of The Provider | SZABO |
| First Name Of The Provider | JOHN |
| 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 | 39000 BOB HOPE DR |
| Street Address 2 Of The Provider | EISENHOWER IMAGING CENTER |
| City Of The Provider | RANCHO MIRAGE |
| Zip Code Of The Provider | 922703221 |
| 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 | 218 |
| Number Of Services | 22020 |
| Number Of Medicare Beneficiaries | 5119 |
| Total Submitted Charge Amount | 1782998.52 |
| Total Medicare Allowed Amount | 499113.42 |
| Total Medicare Payment Amount | 369109.77 |
| Total Medicare Standardized Payment Amount | 360740.7 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 13136 |
| Number Of Medicare Beneficiaries With Drug Services | 187 |
| Total Drug Submitted ChargeAmount | 21071 |
| Total Drug Medicare AllowedAmount | 3826.48 |
| Total Drug Medicare PaymentAmount | 2999.52 |
| Total Drug Medicare Standardized Payment Amount | 2999.52 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 212 |
| Number Of Medical Services | 8884 |
| Number Of Medicare Beneficiaries With Medical Services | 5119 |
| Total Medical Submitted Charge Amount | 1761927.52 |
| Total Medical Medicare Allowed Amount | 495286.94 |
| Total Medical Medicare Payment Amount | 366110.25 |
| Total Medical Medicare Standardized Payment Amount | 357741.18 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 384 |
| Number Of Beneficiaries Age 65 to 74 | 1629 |
| Number Of Beneficiaries Age 75 to 84 | 1871 |
| Number Of Beneficiaries Age Greater 84 | 1235 |
| Number Of Female Beneficiaries | 2590 |
| Number Of Male Beneficiaries | 2529 |
| Number Of Non Hispanic White Beneficiaries | 4422 |
| Number Of Black or African American Beneficiaries | 57 |
| Number Of AsianPacific Islander Beneficiaries | 59 |
| Number Of Hispanic Beneficiaries | 522 |
| Number Of American Indian Alaska Native Beneficiaries | 19 |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4395 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 724 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7715 |