| National Provider Identifier [NPI]: | 1356305486 |
| Last Name Of The Provider | VILLALOBOS |
| First Name Of The Provider | RICHARD |
| 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 | 559 ABBOTT ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SALINAS |
| Zip Code Of The Provider | 939014325 |
| 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 | 266 |
| Number Of Services | 10941 |
| Number Of Medicare Beneficiaries | 2443 |
| Total Submitted Charge Amount | 1130098.02 |
| Total Medicare Allowed Amount | 248731.97 |
| Total Medicare Payment Amount | 182216.89 |
| Total Medicare Standardized Payment Amount | 178279.18 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 6640 |
| Number Of Medicare Beneficiaries With Drug Services | 75 |
| Total Drug Submitted ChargeAmount | 6770.11 |
| Total Drug Medicare AllowedAmount | 1349.54 |
| Total Drug Medicare PaymentAmount | 1045.3 |
| Total Drug Medicare Standardized Payment Amount | 1045.3 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 262 |
| Number Of Medical Services | 4301 |
| Number Of Medicare Beneficiaries With Medical Services | 2443 |
| Total Medical Submitted Charge Amount | 1123327.91 |
| Total Medical Medicare Allowed Amount | 247382.43 |
| Total Medical Medicare Payment Amount | 181171.59 |
| Total Medical Medicare Standardized Payment Amount | 177233.88 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 488 |
| Number Of Beneficiaries Age 65 to 74 | 850 |
| Number Of Beneficiaries Age 75 to 84 | 697 |
| Number Of Beneficiaries Age Greater 84 | 408 |
| Number Of Female Beneficiaries | 1397 |
| Number Of Male Beneficiaries | 1046 |
| Number Of Non Hispanic White Beneficiaries | 1075 |
| Number Of Black or African American Beneficiaries | 55 |
| Number Of AsianPacific Islander Beneficiaries | 147 |
| Number Of Hispanic Beneficiaries | 1123 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1319 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1124 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8384 |