| National Provider Identifier [NPI]: | 1326004284 |
| Last Name Of The Provider | FREITAS |
| First Name Of The Provider | ALEX |
| 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 | 134 |
| Number Of Services | 7455 |
| Number Of Medicare Beneficiaries | 4081 |
| Total Submitted Charge Amount | 1004942.83 |
| Total Medicare Allowed Amount | 192433.77 |
| Total Medicare Payment Amount | 138520.54 |
| Total Medicare Standardized Payment Amount | 131459.8 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1607 |
| Number Of Medicare Beneficiaries With Drug Services | 22 |
| Total Drug Submitted ChargeAmount | 1731.83 |
| Total Drug Medicare AllowedAmount | 397.88 |
| Total Drug Medicare PaymentAmount | 311.91 |
| Total Drug Medicare Standardized Payment Amount | 311.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 132 |
| Number Of Medical Services | 5848 |
| Number Of Medicare Beneficiaries With Medical Services | 4081 |
| Total Medical Submitted Charge Amount | 1003211 |
| Total Medical Medicare Allowed Amount | 192035.89 |
| Total Medical Medicare Payment Amount | 138208.63 |
| Total Medical Medicare Standardized Payment Amount | 131147.89 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 945 |
| Number Of Beneficiaries Age 65 to 74 | 1157 |
| Number Of Beneficiaries Age 75 to 84 | 1122 |
| Number Of Beneficiaries Age Greater 84 | 857 |
| Number Of Female Beneficiaries | 2354 |
| Number Of Male Beneficiaries | 1727 |
| Number Of Non Hispanic White Beneficiaries | 2183 |
| Number Of Black or African American Beneficiaries | 546 |
| Number Of AsianPacific Islander Beneficiaries | 366 |
| Number Of Hispanic Beneficiaries | 865 |
| Number Of American Indian Alaska Native Beneficiaries | 15 |
| Number Of Beneficiaries With Race Not Else where Classified | 106 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1363 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2718 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 35 |
| Percent Of With Asthma | 18 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 48 |
| Percent Of With Chronic Kidney Disease | 51 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 43 |
| Percent Of With Diabetes | 55 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 19 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 2.5938 |