| National Provider Identifier [NPI]: | 1932383411 |
| Last Name Of The Provider | BRANNEN |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1702 ESPLANADE |
| Street Address 2 Of The Provider | |
| City Of The Provider | CHICO |
| Zip Code Of The Provider | 959263315 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Interventional Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 331 |
| Number Of Services | 8502 |
| Number Of Medicare Beneficiaries | 3692 |
| Total Submitted Charge Amount | 1149090 |
| Total Medicare Allowed Amount | 386050.54 |
| Total Medicare Payment Amount | 299224.24 |
| Total Medicare Standardized Payment Amount | 289525.48 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 2246 |
| Number Of Medicare Beneficiaries With Drug Services | 128 |
| Total Drug Submitted ChargeAmount | 8008 |
| Total Drug Medicare AllowedAmount | 1313.17 |
| Total Drug Medicare PaymentAmount | 996.29 |
| Total Drug Medicare Standardized Payment Amount | 996.29 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 321 |
| Number Of Medical Services | 6256 |
| Number Of Medicare Beneficiaries With Medical Services | 3692 |
| Total Medical Submitted Charge Amount | 1141082 |
| Total Medical Medicare Allowed Amount | 384737.37 |
| Total Medical Medicare Payment Amount | 298227.95 |
| Total Medical Medicare Standardized Payment Amount | 288529.19 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 746 |
| Number Of Beneficiaries Age 65 to 74 | 1350 |
| Number Of Beneficiaries Age 75 to 84 | 1001 |
| Number Of Beneficiaries Age Greater 84 | 595 |
| Number Of Female Beneficiaries | 2079 |
| Number Of Male Beneficiaries | 1613 |
| Number Of Non Hispanic White Beneficiaries | 3262 |
| Number Of Black or African American Beneficiaries | 61 |
| Number Of AsianPacific Islander Beneficiaries | 50 |
| Number Of Hispanic Beneficiaries | 224 |
| Number Of American Indian Alaska Native Beneficiaries | 66 |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2398 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1294 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7966 |