| National Provider Identifier [NPI]: | 1952389546 |
| Last Name Of The Provider | DORSEY |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 945 SHASTA ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | YUBA CITY |
| Zip Code Of The Provider | 959914114 |
| 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 | 224 |
| Number Of Services | 12940 |
| Number Of Medicare Beneficiaries | 3951 |
| Total Submitted Charge Amount | 1231083.94 |
| Total Medicare Allowed Amount | 361485.04 |
| Total Medicare Payment Amount | 279619.04 |
| Total Medicare Standardized Payment Amount | 270932.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 5039 |
| Number Of Medicare Beneficiaries With Drug Services | 65 |
| Total Drug Submitted ChargeAmount | 5451.94 |
| Total Drug Medicare AllowedAmount | 1532.53 |
| Total Drug Medicare PaymentAmount | 1184.7 |
| Total Drug Medicare Standardized Payment Amount | 1184.7 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 222 |
| Number Of Medical Services | 7901 |
| Number Of Medicare Beneficiaries With Medical Services | 3951 |
| Total Medical Submitted Charge Amount | 1225632 |
| Total Medical Medicare Allowed Amount | 359952.51 |
| Total Medical Medicare Payment Amount | 278434.34 |
| Total Medical Medicare Standardized Payment Amount | 269747.55 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 780 |
| Number Of Beneficiaries Age 65 to 74 | 1418 |
| Number Of Beneficiaries Age 75 to 84 | 1191 |
| Number Of Beneficiaries Age Greater 84 | 562 |
| Number Of Female Beneficiaries | 2333 |
| Number Of Male Beneficiaries | 1618 |
| Number Of Non Hispanic White Beneficiaries | 2952 |
| Number Of Black or African American Beneficiaries | 94 |
| Number Of AsianPacific Islander Beneficiaries | 364 |
| Number Of Hispanic Beneficiaries | 428 |
| Number Of American Indian Alaska Native Beneficiaries | 63 |
| Number Of Beneficiaries With Race Not Else where Classified | 50 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2409 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1542 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6919 |