| National Provider Identifier [NPI]: | 1619929239 |
| Last Name Of The Provider | COHEN |
| First Name Of The Provider | LAWRENCE |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 11150 CASHMERE ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | LOS ANGELES |
| Zip Code Of The Provider | 900493203 |
| 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 | 165 |
| Number Of Services | 6642 |
| Number Of Medicare Beneficiaries | 4577 |
| Total Submitted Charge Amount | 625891.66 |
| Total Medicare Allowed Amount | 119044.55 |
| Total Medicare Payment Amount | 90658.91 |
| Total Medicare Standardized Payment Amount | 85935.17 |
| 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 | 165 |
| Number Of Medical Services | 6642 |
| Number Of Medicare Beneficiaries With Medical Services | 4577 |
| Total Medical Submitted Charge Amount | 625891.66 |
| Total Medical Medicare Allowed Amount | 119044.55 |
| Total Medical Medicare Payment Amount | 90658.91 |
| Total Medical Medicare Standardized Payment Amount | 85935.17 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 676 |
| Number Of Beneficiaries Age 65 to 74 | 1490 |
| Number Of Beneficiaries Age 75 to 84 | 1358 |
| Number Of Beneficiaries Age Greater 84 | 1053 |
| Number Of Female Beneficiaries | 2594 |
| Number Of Male Beneficiaries | 1983 |
| Number Of Non Hispanic White Beneficiaries | 2189 |
| Number Of Black or African American Beneficiaries | 558 |
| Number Of AsianPacific Islander Beneficiaries | 781 |
| Number Of Hispanic Beneficiaries | 917 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2210 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2367 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 48 |
| Percent Of With Chronic Kidney Disease | 51 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 51 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 19 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.6215 |