| National Provider Identifier [NPI]: | 1174529135 |
| Last Name Of The Provider | RINDAHL |
| First Name Of The Provider | MARTIN |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 231 W FIR AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | CLOVIS |
| Zip Code Of The Provider | 936110220 |
| 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 | 303 |
| Number Of Services | 10049 |
| Number Of Medicare Beneficiaries | 3182 |
| Total Submitted Charge Amount | 2739963 |
| Total Medicare Allowed Amount | 636932.2 |
| Total Medicare Payment Amount | 492444.79 |
| Total Medicare Standardized Payment Amount | 474225.07 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 17 |
| Number Of Drug Services | 3719 |
| Number Of Medicare Beneficiaries With Drug Services | 139 |
| Total Drug Submitted ChargeAmount | 7232 |
| Total Drug Medicare AllowedAmount | 1480.75 |
| Total Drug Medicare PaymentAmount | 1147.6 |
| Total Drug Medicare Standardized Payment Amount | 1147.6 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 286 |
| Number Of Medical Services | 6330 |
| Number Of Medicare Beneficiaries With Medical Services | 3181 |
| Total Medical Submitted Charge Amount | 2732731 |
| Total Medical Medicare Allowed Amount | 635451.45 |
| Total Medical Medicare Payment Amount | 491297.19 |
| Total Medical Medicare Standardized Payment Amount | 473077.47 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 577 |
| Number Of Beneficiaries Age 65 to 74 | 1086 |
| Number Of Beneficiaries Age 75 to 84 | 950 |
| Number Of Beneficiaries Age Greater 84 | 569 |
| Number Of Female Beneficiaries | 1717 |
| Number Of Male Beneficiaries | 1465 |
| Number Of Non Hispanic White Beneficiaries | 1802 |
| Number Of Black or African American Beneficiaries | 219 |
| Number Of AsianPacific Islander Beneficiaries | 235 |
| Number Of Hispanic Beneficiaries | 856 |
| Number Of American Indian Alaska Native Beneficiaries | 36 |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1672 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1510 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 19 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 46 |
| Percent Of With Chronic Kidney Disease | 52 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 51 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.449 |