| National Provider Identifier [NPI]: | 1497827562 |
| Last Name Of The Provider | TAKEDA |
| First Name Of The Provider | PATRICIA |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3941 J STREET |
| Street Address 2 Of The Provider | SUITE 260 |
| City Of The Provider | SACRAMENTO |
| Zip Code Of The Provider | 958193633 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 35 |
| Number Of Services | 7655 |
| Number Of Medicare Beneficiaries | 4360 |
| Total Submitted Charge Amount | 1047578.52 |
| Total Medicare Allowed Amount | 250299.48 |
| Total Medicare Payment Amount | 190717.09 |
| Total Medicare Standardized Payment Amount | 184907.23 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 94 |
| Number Of Medicare Beneficiaries With Drug Services | 23 |
| Total Drug Submitted ChargeAmount | 5812.12 |
| Total Drug Medicare AllowedAmount | 4876.71 |
| Total Drug Medicare PaymentAmount | 3782.7 |
| Total Drug Medicare Standardized Payment Amount | 3782.7 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 33 |
| Number Of Medical Services | 7561 |
| Number Of Medicare Beneficiaries With Medical Services | 4360 |
| Total Medical Submitted Charge Amount | 1041766.4 |
| Total Medical Medicare Allowed Amount | 245422.77 |
| Total Medical Medicare Payment Amount | 186934.39 |
| Total Medical Medicare Standardized Payment Amount | 181124.53 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 928 |
| Number Of Beneficiaries Age 65 to 74 | 1626 |
| Number Of Beneficiaries Age 75 to 84 | 1177 |
| Number Of Beneficiaries Age Greater 84 | 629 |
| Number Of Female Beneficiaries | 2122 |
| Number Of Male Beneficiaries | 2238 |
| Number Of Non Hispanic White Beneficiaries | 2907 |
| Number Of Black or African American Beneficiaries | 495 |
| Number Of AsianPacific Islander Beneficiaries | 400 |
| Number Of Hispanic Beneficiaries | 426 |
| Number Of American Indian Alaska Native Beneficiaries | 34 |
| Number Of Beneficiaries With Race Not Else where Classified | 98 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2736 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1624 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 46 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.0349 |