| National Provider Identifier [NPI]: | 1558327106 |
| Last Name Of The Provider | VANDERSCHELDEN |
| First Name Of The Provider | PHILIPPE |
| 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 | 1867 E FIR AVE |
| Street Address 2 Of The Provider | SUITE 101 |
| City Of The Provider | FRESNO |
| Zip Code Of The Provider | 937203841 |
| 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 | 169 |
| Number Of Services | 29655 |
| Number Of Medicare Beneficiaries | 4241 |
| Total Submitted Charge Amount | 3018614 |
| Total Medicare Allowed Amount | 554881.65 |
| Total Medicare Payment Amount | 417146.01 |
| Total Medicare Standardized Payment Amount | 407837.41 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 23487 |
| Number Of Medicare Beneficiaries With Drug Services | 398 |
| Total Drug Submitted ChargeAmount | 26022 |
| Total Drug Medicare AllowedAmount | 8562.96 |
| Total Drug Medicare PaymentAmount | 6584.51 |
| Total Drug Medicare Standardized Payment Amount | 6584.51 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 158 |
| Number Of Medical Services | 6168 |
| Number Of Medicare Beneficiaries With Medical Services | 4240 |
| Total Medical Submitted Charge Amount | 2992592 |
| Total Medical Medicare Allowed Amount | 546318.69 |
| Total Medical Medicare Payment Amount | 410561.5 |
| Total Medical Medicare Standardized Payment Amount | 401252.9 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 787 |
| Number Of Beneficiaries Age 65 to 74 | 1561 |
| Number Of Beneficiaries Age 75 to 84 | 1183 |
| Number Of Beneficiaries Age Greater 84 | 710 |
| Number Of Female Beneficiaries | 2441 |
| Number Of Male Beneficiaries | 1800 |
| Number Of Non Hispanic White Beneficiaries | 2484 |
| Number Of Black or African American Beneficiaries | 275 |
| Number Of AsianPacific Islander Beneficiaries | 324 |
| Number Of Hispanic Beneficiaries | 1074 |
| Number Of American Indian Alaska Native Beneficiaries | 33 |
| Number Of Beneficiaries With Race Not Else where Classified | 51 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2353 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1888 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 17 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 1.8882 |