| National Provider Identifier [NPI]: | 1376530857 |
| Last Name Of The Provider | SANCHEZ |
| First Name Of The Provider | ORESTES |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 703 MAIN ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | PATERSON |
| Zip Code Of The Provider | 075032621 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 280 |
| Number Of Services | 5607 |
| Number Of Medicare Beneficiaries | 3206 |
| Total Submitted Charge Amount | 891994 |
| Total Medicare Allowed Amount | 227967.65 |
| Total Medicare Payment Amount | 175296.88 |
| Total Medicare Standardized Payment Amount | 163014.12 |
| 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 | 280 |
| Number Of Medical Services | 5607 |
| Number Of Medicare Beneficiaries With Medical Services | 3206 |
| Total Medical Submitted Charge Amount | 891994 |
| Total Medical Medicare Allowed Amount | 227967.65 |
| Total Medical Medicare Payment Amount | 175296.88 |
| Total Medical Medicare Standardized Payment Amount | 163014.12 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 582 |
| Number Of Beneficiaries Age 65 to 74 | 923 |
| Number Of Beneficiaries Age 75 to 84 | 893 |
| Number Of Beneficiaries Age Greater 84 | 808 |
| Number Of Female Beneficiaries | 1916 |
| Number Of Male Beneficiaries | 1290 |
| Number Of Non Hispanic White Beneficiaries | 1874 |
| Number Of Black or African American Beneficiaries | 637 |
| Number Of AsianPacific Islander Beneficiaries | 76 |
| Number Of Hispanic Beneficiaries | 566 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2111 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1095 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 51 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 2.3031 |