| National Provider Identifier [NPI]: | 1174548051 |
| Last Name Of The Provider | ARCHIBEQUE |
| First Name Of The Provider | FRANK |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2301 BAHAMAS DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | BAKERSFIELD |
| Zip Code Of The Provider | 933090663 |
| 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 | 311 |
| Number Of Services | 16657 |
| Number Of Medicare Beneficiaries | 5789 |
| Total Submitted Charge Amount | 1340053.7 |
| Total Medicare Allowed Amount | 515790.82 |
| Total Medicare Payment Amount | 378039.38 |
| Total Medicare Standardized Payment Amount | 369441.98 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 6606 |
| Number Of Medicare Beneficiaries With Drug Services | 112 |
| Total Drug Submitted ChargeAmount | 11396.7 |
| Total Drug Medicare AllowedAmount | 2894.06 |
| Total Drug Medicare PaymentAmount | 2245.34 |
| Total Drug Medicare Standardized Payment Amount | 2245.34 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 303 |
| Number Of Medical Services | 10051 |
| Number Of Medicare Beneficiaries With Medical Services | 5789 |
| Total Medical Submitted Charge Amount | 1328657 |
| Total Medical Medicare Allowed Amount | 512896.76 |
| Total Medical Medicare Payment Amount | 375794.04 |
| Total Medical Medicare Standardized Payment Amount | 367196.64 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1266 |
| Number Of Beneficiaries Age 65 to 74 | 2190 |
| Number Of Beneficiaries Age 75 to 84 | 1560 |
| Number Of Beneficiaries Age Greater 84 | 773 |
| Number Of Female Beneficiaries | 3487 |
| Number Of Male Beneficiaries | 2302 |
| Number Of Non Hispanic White Beneficiaries | 3535 |
| Number Of Black or African American Beneficiaries | 257 |
| Number Of AsianPacific Islander Beneficiaries | 135 |
| Number Of Hispanic Beneficiaries | 1638 |
| Number Of American Indian Alaska Native Beneficiaries | 170 |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3582 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2207 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.8449 |