| National Provider Identifier [NPI]: | 1508077355 |
| Last Name Of The Provider | DRAEGER |
| First Name Of The Provider | MARC |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1867 E FIR AVE |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | FRESNO |
| Zip Code Of The Provider | 937203808 |
| 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 | 193 |
| Number Of Services | 14271 |
| Number Of Medicare Beneficiaries | 5354 |
| Total Submitted Charge Amount | 1440851.6 |
| Total Medicare Allowed Amount | 407705.99 |
| Total Medicare Payment Amount | 338498.69 |
| Total Medicare Standardized Payment Amount | 324625.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 5515 |
| Number Of Medicare Beneficiaries With Drug Services | 73 |
| Total Drug Submitted ChargeAmount | 6621 |
| Total Drug Medicare AllowedAmount | 1530.51 |
| Total Drug Medicare PaymentAmount | 1198.46 |
| Total Drug Medicare Standardized Payment Amount | 1198.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 185 |
| Number Of Medical Services | 8756 |
| Number Of Medicare Beneficiaries With Medical Services | 5354 |
| Total Medical Submitted Charge Amount | 1434230.6 |
| Total Medical Medicare Allowed Amount | 406175.48 |
| Total Medical Medicare Payment Amount | 337300.23 |
| Total Medical Medicare Standardized Payment Amount | 323427.38 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 860 |
| Number Of Beneficiaries Age 65 to 74 | 2291 |
| Number Of Beneficiaries Age 75 to 84 | 1487 |
| Number Of Beneficiaries Age Greater 84 | 716 |
| Number Of Female Beneficiaries | 3796 |
| Number Of Male Beneficiaries | 1558 |
| Number Of Non Hispanic White Beneficiaries | 3193 |
| Number Of Black or African American Beneficiaries | 322 |
| Number Of AsianPacific Islander Beneficiaries | 353 |
| Number Of Hispanic Beneficiaries | 1370 |
| Number Of American Indian Alaska Native Beneficiaries | 45 |
| Number Of Beneficiaries With Race Not Else where Classified | 71 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3268 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2086 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5879 |