| National Provider Identifier [NPI]: | 1497974422 |
| Last Name Of The Provider | NEALON |
| First Name Of The Provider | SHAGHAYEGH |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3000 Q ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SACRAMENTO |
| Zip Code Of The Provider | 95816 |
| 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 | 107 |
| Number Of Services | 5121 |
| Number Of Medicare Beneficiaries | 3386 |
| Total Submitted Charge Amount | 753395.6 |
| Total Medicare Allowed Amount | 197185.25 |
| Total Medicare Payment Amount | 150404.72 |
| Total Medicare Standardized Payment Amount | 142116.03 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 33 |
| Number Of Medicare Beneficiaries With Drug Services | 11 |
| Total Drug Submitted ChargeAmount | 1320 |
| Total Drug Medicare AllowedAmount | 59 |
| Total Drug Medicare PaymentAmount | 46.26 |
| Total Drug Medicare Standardized Payment Amount | 46.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 106 |
| Number Of Medical Services | 5088 |
| Number Of Medicare Beneficiaries With Medical Services | 3386 |
| Total Medical Submitted Charge Amount | 752075.6 |
| Total Medical Medicare Allowed Amount | 197126.25 |
| Total Medical Medicare Payment Amount | 150358.46 |
| Total Medical Medicare Standardized Payment Amount | 142069.77 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 811 |
| Number Of Beneficiaries Age 65 to 74 | 1303 |
| Number Of Beneficiaries Age 75 to 84 | 792 |
| Number Of Beneficiaries Age Greater 84 | 480 |
| Number Of Female Beneficiaries | 2063 |
| Number Of Male Beneficiaries | 1323 |
| Number Of Non Hispanic White Beneficiaries | 2219 |
| Number Of Black or African American Beneficiaries | 385 |
| Number Of AsianPacific Islander Beneficiaries | 341 |
| Number Of Hispanic Beneficiaries | 351 |
| Number Of American Indian Alaska Native Beneficiaries | 26 |
| Number Of Beneficiaries With Race Not Else where Classified | 64 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1983 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1403 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5951 |