| National Provider Identifier [NPI]: | 1275503609 |
| Last Name Of The Provider | HELLER |
| First Name Of The Provider | LLOYD |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9205 SW BARNES RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | PORTLAND |
| Zip Code Of The Provider | 972256603 |
| State Code Of The Provider | OR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 152 |
| Number Of Services | 5517.5 |
| Number Of Medicare Beneficiaries | 3634 |
| Total Submitted Charge Amount | 679013.5 |
| Total Medicare Allowed Amount | 193139.84 |
| Total Medicare Payment Amount | 144250.25 |
| Total Medicare Standardized Payment Amount | 143854.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 201.5 |
| Number Of Medicare Beneficiaries With Drug Services | 20 |
| Total Drug Submitted ChargeAmount | 1042.5 |
| Total Drug Medicare AllowedAmount | 85.07 |
| Total Drug Medicare PaymentAmount | 64.76 |
| Total Drug Medicare Standardized Payment Amount | 64.76 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 150 |
| Number Of Medical Services | 5316 |
| Number Of Medicare Beneficiaries With Medical Services | 3634 |
| Total Medical Submitted Charge Amount | 677971 |
| Total Medical Medicare Allowed Amount | 193054.77 |
| Total Medical Medicare Payment Amount | 144185.49 |
| Total Medical Medicare Standardized Payment Amount | 143790.08 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 597 |
| Number Of Beneficiaries Age 65 to 74 | 1489 |
| Number Of Beneficiaries Age 75 to 84 | 929 |
| Number Of Beneficiaries Age Greater 84 | 619 |
| Number Of Female Beneficiaries | 2193 |
| Number Of Male Beneficiaries | 1441 |
| Number Of Non Hispanic White Beneficiaries | 3285 |
| Number Of Black or African American Beneficiaries | 44 |
| Number Of AsianPacific Islander Beneficiaries | 114 |
| Number Of Hispanic Beneficiaries | 117 |
| Number Of American Indian Alaska Native Beneficiaries | 16 |
| Number Of Beneficiaries With Race Not Else where Classified | 58 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2872 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 762 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 47 |
| Percent Of With Hypertension | 63 |
| Percent Of With Ischemic Heart Disease | 29 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2719 |