| National Provider Identifier [NPI]: | 1063418358 |
| Last Name Of The Provider | LOCKEN |
| First Name Of The Provider | JULIE |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1155 MILL ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | RENO |
| Zip Code Of The Provider | 895021576 |
| State Code Of The Provider | NV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 183 |
| Number Of Services | 25211 |
| Number Of Medicare Beneficiaries | 3668 |
| Total Submitted Charge Amount | 2124307.44 |
| Total Medicare Allowed Amount | 493071.68 |
| Total Medicare Payment Amount | 382041.13 |
| Total Medicare Standardized Payment Amount | 376424.72 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 18542 |
| Number Of Medicare Beneficiaries With Drug Services | 195 |
| Total Drug Submitted ChargeAmount | 12098.66 |
| Total Drug Medicare AllowedAmount | 3765.04 |
| Total Drug Medicare PaymentAmount | 2938.72 |
| Total Drug Medicare Standardized Payment Amount | 2938.72 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 180 |
| Number Of Medical Services | 6669 |
| Number Of Medicare Beneficiaries With Medical Services | 3667 |
| Total Medical Submitted Charge Amount | 2112208.78 |
| Total Medical Medicare Allowed Amount | 489306.64 |
| Total Medical Medicare Payment Amount | 379102.41 |
| Total Medical Medicare Standardized Payment Amount | 373486 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 634 |
| Number Of Beneficiaries Age 65 to 74 | 1654 |
| Number Of Beneficiaries Age 75 to 84 | 984 |
| Number Of Beneficiaries Age Greater 84 | 396 |
| Number Of Female Beneficiaries | 2198 |
| Number Of Male Beneficiaries | 1470 |
| Number Of Non Hispanic White Beneficiaries | 3157 |
| Number Of Black or African American Beneficiaries | 75 |
| Number Of AsianPacific Islander Beneficiaries | 74 |
| Number Of Hispanic Beneficiaries | 251 |
| Number Of American Indian Alaska Native Beneficiaries | 61 |
| Number Of Beneficiaries With Race Not Else where Classified | 50 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2973 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 695 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.494 |