| National Provider Identifier [NPI]: | 1598785594 |
| Last Name Of The Provider | HAKE |
| First Name Of The Provider | STEVEN |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12742 CHANDON CT |
| Street Address 2 Of The Provider | |
| City Of The Provider | SAN DIEGO |
| Zip Code Of The Provider | 921302794 |
| 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 | 212 |
| Number Of Services | 22867 |
| Number Of Medicare Beneficiaries | 3285 |
| Total Submitted Charge Amount | 1503057.7 |
| Total Medicare Allowed Amount | 459765.67 |
| Total Medicare Payment Amount | 356995.58 |
| Total Medicare Standardized Payment Amount | 315465.27 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 17609 |
| Number Of Medicare Beneficiaries With Drug Services | 199 |
| Total Drug Submitted ChargeAmount | 30968.78 |
| Total Drug Medicare AllowedAmount | 3868.09 |
| Total Drug Medicare PaymentAmount | 3032.77 |
| Total Drug Medicare Standardized Payment Amount | 3032.77 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 208 |
| Number Of Medical Services | 5258 |
| Number Of Medicare Beneficiaries With Medical Services | 3285 |
| Total Medical Submitted Charge Amount | 1472088.92 |
| Total Medical Medicare Allowed Amount | 455897.58 |
| Total Medical Medicare Payment Amount | 353962.81 |
| Total Medical Medicare Standardized Payment Amount | 312432.5 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 722 |
| Number Of Beneficiaries Age 65 to 74 | 1181 |
| Number Of Beneficiaries Age 75 to 84 | 940 |
| Number Of Beneficiaries Age Greater 84 | 442 |
| Number Of Female Beneficiaries | 1997 |
| Number Of Male Beneficiaries | 1288 |
| Number Of Non Hispanic White Beneficiaries | 2330 |
| Number Of Black or African American Beneficiaries | 265 |
| Number Of AsianPacific Islander Beneficiaries | 134 |
| Number Of Hispanic Beneficiaries | 493 |
| Number Of American Indian Alaska Native Beneficiaries | 12 |
| Number Of Beneficiaries With Race Not Else where Classified | 51 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2227 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1058 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4431 |