| National Provider Identifier [NPI]: | 1700840238 |
| Last Name Of The Provider | NIXON |
| First Name Of The Provider | BRUCE |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2000 MOWRY AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | FREMONT |
| Zip Code Of The Provider | 945381716 |
| 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 | 213 |
| Number Of Services | 8114 |
| Number Of Medicare Beneficiaries | 4024 |
| Total Submitted Charge Amount | 1569392.5 |
| Total Medicare Allowed Amount | 246874.94 |
| Total Medicare Payment Amount | 195995.58 |
| Total Medicare Standardized Payment Amount | 182252.21 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 213 |
| Number Of Medical Services | 8114 |
| Number Of Medicare Beneficiaries With Medical Services | 4024 |
| Total Medical Submitted Charge Amount | 1569392.5 |
| Total Medical Medicare Allowed Amount | 246874.94 |
| Total Medical Medicare Payment Amount | 195995.58 |
| Total Medical Medicare Standardized Payment Amount | 182252.21 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 474 |
| Number Of Beneficiaries Age 65 to 74 | 1369 |
| Number Of Beneficiaries Age 75 to 84 | 1375 |
| Number Of Beneficiaries Age Greater 84 | 806 |
| Number Of Female Beneficiaries | 2565 |
| Number Of Male Beneficiaries | 1459 |
| Number Of Non Hispanic White Beneficiaries | 1845 |
| Number Of Black or African American Beneficiaries | 193 |
| Number Of AsianPacific Islander Beneficiaries | 1203 |
| Number Of Hispanic Beneficiaries | 630 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2286 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1738 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7746 |