| National Provider Identifier [NPI]: | 1356568661 |
| Last Name Of The Provider | HANSON |
| First Name Of The Provider | NICHOLAS |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2320 BATH ST STE 113 |
| Street Address 2 Of The Provider | |
| City Of The Provider | SANTA BARBARA |
| Zip Code Of The Provider | 931054377 |
| 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 | 285 |
| Number Of Services | 6711 |
| Number Of Medicare Beneficiaries | 2884 |
| Total Submitted Charge Amount | 1159620.63 |
| Total Medicare Allowed Amount | 320066.97 |
| Total Medicare Payment Amount | 241108.23 |
| Total Medicare Standardized Payment Amount | 225133.22 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 2372 |
| Number Of Medicare Beneficiaries With Drug Services | 123 |
| Total Drug Submitted ChargeAmount | 12344.4 |
| Total Drug Medicare AllowedAmount | 667.2 |
| Total Drug Medicare PaymentAmount | 523.3 |
| Total Drug Medicare Standardized Payment Amount | 523.3 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 279 |
| Number Of Medical Services | 4339 |
| Number Of Medicare Beneficiaries With Medical Services | 2884 |
| Total Medical Submitted Charge Amount | 1147276.23 |
| Total Medical Medicare Allowed Amount | 319399.77 |
| Total Medical Medicare Payment Amount | 240584.93 |
| Total Medical Medicare Standardized Payment Amount | 224609.92 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 407 |
| Number Of Beneficiaries Age 65 to 74 | 938 |
| Number Of Beneficiaries Age 75 to 84 | 934 |
| Number Of Beneficiaries Age Greater 84 | 605 |
| Number Of Female Beneficiaries | 1625 |
| Number Of Male Beneficiaries | 1259 |
| Number Of Non Hispanic White Beneficiaries | 1962 |
| Number Of Black or African American Beneficiaries | 63 |
| Number Of AsianPacific Islander Beneficiaries | 120 |
| Number Of Hispanic Beneficiaries | 666 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 62 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2057 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 827 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9132 |