| National Provider Identifier [NPI]: | 1982660387 |
| Last Name Of The Provider | BELLER |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1600 W AVENUE J |
| Street Address 2 Of The Provider | |
| City Of The Provider | LANCASTER |
| Zip Code Of The Provider | 935342814 |
| 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 | 249 |
| Number Of Services | 61903 |
| Number Of Medicare Beneficiaries | 6146 |
| Total Submitted Charge Amount | 3996795.98 |
| Total Medicare Allowed Amount | 880196.27 |
| Total Medicare Payment Amount | 657796.74 |
| Total Medicare Standardized Payment Amount | 612639.83 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 51031 |
| Number Of Medicare Beneficiaries With Drug Services | 542 |
| Total Drug Submitted ChargeAmount | 51011.98 |
| Total Drug Medicare AllowedAmount | 10838.84 |
| Total Drug Medicare PaymentAmount | 8469.95 |
| Total Drug Medicare Standardized Payment Amount | 8469.95 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 243 |
| Number Of Medical Services | 10872 |
| Number Of Medicare Beneficiaries With Medical Services | 6146 |
| Total Medical Submitted Charge Amount | 3945784 |
| Total Medical Medicare Allowed Amount | 869357.43 |
| Total Medical Medicare Payment Amount | 649326.79 |
| Total Medical Medicare Standardized Payment Amount | 604169.88 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 930 |
| Number Of Beneficiaries Age 65 to 74 | 2042 |
| Number Of Beneficiaries Age 75 to 84 | 1952 |
| Number Of Beneficiaries Age Greater 84 | 1222 |
| Number Of Female Beneficiaries | 3587 |
| Number Of Male Beneficiaries | 2559 |
| Number Of Non Hispanic White Beneficiaries | 3431 |
| Number Of Black or African American Beneficiaries | 586 |
| Number Of AsianPacific Islander Beneficiaries | 838 |
| Number Of Hispanic Beneficiaries | 1132 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2790 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3356 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.2437 |