| National Provider Identifier [NPI]: | 1790780658 |
| Last Name Of The Provider | RAINWATER |
| First Name Of The Provider | HAROLD |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6113 N FRESNO ST # 101 |
| Street Address 2 Of The Provider | |
| City Of The Provider | FRESNO |
| Zip Code Of The Provider | 937105207 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 142 |
| Number Of Services | 41177 |
| Number Of Medicare Beneficiaries | 2146 |
| Total Submitted Charge Amount | 2368078.6 |
| Total Medicare Allowed Amount | 1248544.44 |
| Total Medicare Payment Amount | 948147.64 |
| Total Medicare Standardized Payment Amount | 928550.56 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 22485 |
| Number Of Medicare Beneficiaries With Drug Services | 502 |
| Total Drug Submitted ChargeAmount | 475518.6 |
| Total Drug Medicare AllowedAmount | 208845.15 |
| Total Drug Medicare PaymentAmount | 161780.73 |
| Total Drug Medicare Standardized Payment Amount | 161780.73 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 132 |
| Number Of Medical Services | 18692 |
| Number Of Medicare Beneficiaries With Medical Services | 2146 |
| Total Medical Submitted Charge Amount | 1892560 |
| Total Medical Medicare Allowed Amount | 1039699.29 |
| Total Medical Medicare Payment Amount | 786366.91 |
| Total Medical Medicare Standardized Payment Amount | 766769.83 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 158 |
| Number Of Beneficiaries Age 65 to 74 | 928 |
| Number Of Beneficiaries Age 75 to 84 | 745 |
| Number Of Beneficiaries Age Greater 84 | 315 |
| Number Of Female Beneficiaries | 412 |
| Number Of Male Beneficiaries | 1734 |
| Number Of Non Hispanic White Beneficiaries | 1614 |
| Number Of Black or African American Beneficiaries | 62 |
| Number Of AsianPacific Islander Beneficiaries | 57 |
| Number Of Hispanic Beneficiaries | 372 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1788 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 358 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 22 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 11 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.1178 |