| National Provider Identifier [NPI]: | 1144270794 |
| Last Name Of The Provider | FU |
| First Name Of The Provider | KARIN |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 39000 BOB HOPE DR |
| Street Address 2 Of The Provider | EISENHOWER IMAGING CENTER |
| City Of The Provider | RANCHO MIRAGE |
| Zip Code Of The Provider | 922703221 |
| 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 | 94 |
| Number Of Services | 5992 |
| Number Of Medicare Beneficiaries | 4417 |
| Total Submitted Charge Amount | 1467760.9 |
| Total Medicare Allowed Amount | 387985.07 |
| Total Medicare Payment Amount | 352213.32 |
| Total Medicare Standardized Payment Amount | 318144.87 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 210 |
| Number Of Medicare Beneficiaries With Drug Services | 21 |
| Total Drug Submitted ChargeAmount | 669.9 |
| Total Drug Medicare AllowedAmount | 415.09 |
| Total Drug Medicare PaymentAmount | 325.47 |
| Total Drug Medicare Standardized Payment Amount | 325.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 93 |
| Number Of Medical Services | 5782 |
| Number Of Medicare Beneficiaries With Medical Services | 4417 |
| Total Medical Submitted Charge Amount | 1467091 |
| Total Medical Medicare Allowed Amount | 387569.98 |
| Total Medical Medicare Payment Amount | 351887.85 |
| Total Medical Medicare Standardized Payment Amount | 317819.4 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 547 |
| Number Of Beneficiaries Age 65 to 74 | 2359 |
| Number Of Beneficiaries Age 75 to 84 | 1164 |
| Number Of Beneficiaries Age Greater 84 | 347 |
| Number Of Female Beneficiaries | 4131 |
| Number Of Male Beneficiaries | 286 |
| Number Of Non Hispanic White Beneficiaries | 2270 |
| Number Of Black or African American Beneficiaries | 230 |
| Number Of AsianPacific Islander Beneficiaries | 985 |
| Number Of Hispanic Beneficiaries | 799 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2059 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2358 |
| Percent Of With Atrial Fibrillation | 7 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 22 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.3037 |