| National Provider Identifier [NPI]: | 1922084904 |
| Last Name Of The Provider | HERNANDEZ |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 13400 E SHEA BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | SCOTTSDALE |
| Zip Code Of The Provider | 852595404 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 79 |
| Number Of Services | 51302 |
| Number Of Medicare Beneficiaries | 15340 |
| Total Submitted Charge Amount | 272877.59 |
| Total Medicare Allowed Amount | 222126.48 |
| Total Medicare Payment Amount | 211483.98 |
| Total Medicare Standardized Payment Amount | 216605.29 |
| 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 | 79 |
| Number Of Medical Services | 51302 |
| Number Of Medicare Beneficiaries With Medical Services | 15340 |
| Total Medical Submitted Charge Amount | 272877.59 |
| Total Medical Medicare Allowed Amount | 222126.48 |
| Total Medical Medicare Payment Amount | 211483.98 |
| Total Medical Medicare Standardized Payment Amount | 216605.29 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 1175 |
| Number Of Beneficiaries Age 65 to 74 | 6717 |
| Number Of Beneficiaries Age 75 to 84 | 5574 |
| Number Of Beneficiaries Age Greater 84 | 1874 |
| Number Of Female Beneficiaries | 6820 |
| Number Of Male Beneficiaries | 8520 |
| Number Of Non Hispanic White Beneficiaries | 13964 |
| Number Of Black or African American Beneficiaries | 274 |
| Number Of AsianPacific Islander Beneficiaries | 170 |
| Number Of Hispanic Beneficiaries | 512 |
| Number Of American Indian Alaska Native Beneficiaries | 150 |
| Number Of Beneficiaries With Race Not Else where Classified | 270 |
| Number Of Beneficiaries With Medicare Only Entitlement | 14809 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 531 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 24 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 59 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.3607 |