| National Provider Identifier [NPI]: | 1801879382 |
| Last Name Of The Provider | SUTHERLAND |
| First Name Of The Provider | RANDAL |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4101 TORRANCE BLVD |
| Street Address 2 Of The Provider | LITTLE CO MARY HOSP |
| City Of The Provider | TORRANCE |
| Zip Code Of The Provider | 905034607 |
| 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 | 187 |
| Number Of Services | 6333 |
| Number Of Medicare Beneficiaries | 2648 |
| Total Submitted Charge Amount | 2317217.59 |
| Total Medicare Allowed Amount | 292432.13 |
| Total Medicare Payment Amount | 220480.06 |
| Total Medicare Standardized Payment Amount | 203424.77 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1981 |
| Number Of Medicare Beneficiaries With Drug Services | 25 |
| Total Drug Submitted ChargeAmount | 640.59 |
| Total Drug Medicare AllowedAmount | 408.12 |
| Total Drug Medicare PaymentAmount | 319.94 |
| Total Drug Medicare Standardized Payment Amount | 319.94 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 184 |
| Number Of Medical Services | 4352 |
| Number Of Medicare Beneficiaries With Medical Services | 2648 |
| Total Medical Submitted Charge Amount | 2316577 |
| Total Medical Medicare Allowed Amount | 292024.01 |
| Total Medical Medicare Payment Amount | 220160.12 |
| Total Medical Medicare Standardized Payment Amount | 203104.83 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 303 |
| Number Of Beneficiaries Age 65 to 74 | 864 |
| Number Of Beneficiaries Age 75 to 84 | 831 |
| Number Of Beneficiaries Age Greater 84 | 650 |
| Number Of Female Beneficiaries | 1633 |
| Number Of Male Beneficiaries | 1015 |
| Number Of Non Hispanic White Beneficiaries | 1350 |
| Number Of Black or African American Beneficiaries | 310 |
| Number Of AsianPacific Islander Beneficiaries | 498 |
| Number Of Hispanic Beneficiaries | 410 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1701 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 947 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.8228 |