| National Provider Identifier [NPI]: | 1316956717 |
| Last Name Of The Provider | SHEEL |
| First Name Of The Provider | SANJIV |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 215 W JANSS RD |
| Street Address 2 Of The Provider | RADIOLOGY DEPARTMENT |
| City Of The Provider | THOUSAND OAKS |
| Zip Code Of The Provider | 913601847 |
| 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 | 219 |
| Number Of Services | 27941 |
| Number Of Medicare Beneficiaries | 3911 |
| Total Submitted Charge Amount | 1758446.5 |
| Total Medicare Allowed Amount | 474262.52 |
| Total Medicare Payment Amount | 362941.37 |
| Total Medicare Standardized Payment Amount | 337300.54 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 19734 |
| Number Of Medicare Beneficiaries With Drug Services | 216 |
| Total Drug Submitted ChargeAmount | 19824 |
| Total Drug Medicare AllowedAmount | 5262.66 |
| Total Drug Medicare PaymentAmount | 3880.63 |
| Total Drug Medicare Standardized Payment Amount | 3880.63 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 216 |
| Number Of Medical Services | 8207 |
| Number Of Medicare Beneficiaries With Medical Services | 3911 |
| Total Medical Submitted Charge Amount | 1738622.5 |
| Total Medical Medicare Allowed Amount | 468999.86 |
| Total Medical Medicare Payment Amount | 359060.74 |
| Total Medical Medicare Standardized Payment Amount | 333419.91 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 274 |
| Number Of Beneficiaries Age 65 to 74 | 1376 |
| Number Of Beneficiaries Age 75 to 84 | 1266 |
| Number Of Beneficiaries Age Greater 84 | 995 |
| Number Of Female Beneficiaries | 2272 |
| Number Of Male Beneficiaries | 1639 |
| Number Of Non Hispanic White Beneficiaries | 3374 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 148 |
| Number Of Hispanic Beneficiaries | 270 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 77 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3370 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 541 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6946 |