| National Provider Identifier [NPI]: | 1114017571 |
| Last Name Of The Provider | SCHMIDT |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 121 SOTOYOME ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SANTA ROSA |
| Zip Code Of The Provider | 954054823 |
| 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 | 233 |
| Number Of Services | 12795 |
| Number Of Medicare Beneficiaries | 4443 |
| Total Submitted Charge Amount | 849771 |
| Total Medicare Allowed Amount | 391740.49 |
| Total Medicare Payment Amount | 306166.97 |
| Total Medicare Standardized Payment Amount | 302212.05 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 5124 |
| Number Of Medicare Beneficiaries With Drug Services | 69 |
| Total Drug Submitted ChargeAmount | 13832 |
| Total Drug Medicare AllowedAmount | 1979.76 |
| Total Drug Medicare PaymentAmount | 1547.91 |
| Total Drug Medicare Standardized Payment Amount | 1547.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 228 |
| Number Of Medical Services | 7671 |
| Number Of Medicare Beneficiaries With Medical Services | 4443 |
| Total Medical Submitted Charge Amount | 835939 |
| Total Medical Medicare Allowed Amount | 389760.73 |
| Total Medical Medicare Payment Amount | 304619.06 |
| Total Medical Medicare Standardized Payment Amount | 300664.14 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 570 |
| Number Of Beneficiaries Age 65 to 74 | 1841 |
| Number Of Beneficiaries Age 75 to 84 | 1249 |
| Number Of Beneficiaries Age Greater 84 | 783 |
| Number Of Female Beneficiaries | 3090 |
| Number Of Male Beneficiaries | 1353 |
| Number Of Non Hispanic White Beneficiaries | 3934 |
| Number Of Black or African American Beneficiaries | 50 |
| Number Of AsianPacific Islander Beneficiaries | 91 |
| Number Of Hispanic Beneficiaries | 262 |
| Number Of American Indian Alaska Native Beneficiaries | 38 |
| Number Of Beneficiaries With Race Not Else where Classified | 68 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3550 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 893 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 24 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 61 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3067 |