| National Provider Identifier [NPI]: | 1407881741 |
| Last Name Of The Provider | JOHNSON |
| First Name Of The Provider | KURT |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D., INC. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1040 MANGROVE AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | CHICO |
| Zip Code Of The Provider | 959263509 |
| 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 | 174 |
| Number Of Services | 19040 |
| Number Of Medicare Beneficiaries | 1227 |
| Total Submitted Charge Amount | 957448.25 |
| Total Medicare Allowed Amount | 622140.47 |
| Total Medicare Payment Amount | 491952 |
| Total Medicare Standardized Payment Amount | 480608.44 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 24 |
| Number Of Drug Services | 5673 |
| Number Of Medicare Beneficiaries With Drug Services | 535 |
| Total Drug Submitted ChargeAmount | 164606.75 |
| Total Drug Medicare AllowedAmount | 99061.31 |
| Total Drug Medicare PaymentAmount | 84535.22 |
| Total Drug Medicare Standardized Payment Amount | 84535.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 150 |
| Number Of Medical Services | 13367 |
| Number Of Medicare Beneficiaries With Medical Services | 1226 |
| Total Medical Submitted Charge Amount | 792841.5 |
| Total Medical Medicare Allowed Amount | 523079.16 |
| Total Medical Medicare Payment Amount | 407416.78 |
| Total Medical Medicare Standardized Payment Amount | 396073.22 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 192 |
| Number Of Beneficiaries Age 65 to 74 | 536 |
| Number Of Beneficiaries Age 75 to 84 | 338 |
| Number Of Beneficiaries Age Greater 84 | 161 |
| Number Of Female Beneficiaries | 747 |
| Number Of Male Beneficiaries | 480 |
| Number Of Non Hispanic White Beneficiaries | 1025 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 17 |
| Number Of Hispanic Beneficiaries | 158 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 15 |
| Number Of Beneficiaries With Medicare Only Entitlement | 976 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 251 |
| Percent Of With Atrial Fibrillation | 7 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 9 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 56 |
| Percent Of With Ischemic Heart Disease | 20 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 33 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9143 |