| National Provider Identifier [NPI]: | 1922232289 |
| Last Name Of The Provider | LE |
| First Name Of The Provider | THU |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 714 W ARRELLAGA ST |
| Street Address 2 Of The Provider | #12 |
| City Of The Provider | SANTA BARBARA |
| Zip Code Of The Provider | 931014160 |
| 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 | 200 |
| Number Of Services | 7805 |
| Number Of Medicare Beneficiaries | 3385 |
| Total Submitted Charge Amount | 823991 |
| Total Medicare Allowed Amount | 288056.55 |
| Total Medicare Payment Amount | 225442.65 |
| Total Medicare Standardized Payment Amount | 218506.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2360 |
| Number Of Medicare Beneficiaries With Drug Services | 52 |
| Total Drug Submitted ChargeAmount | 3008 |
| Total Drug Medicare AllowedAmount | 1045.68 |
| Total Drug Medicare PaymentAmount | 819.74 |
| Total Drug Medicare Standardized Payment Amount | 819.74 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 198 |
| Number Of Medical Services | 5445 |
| Number Of Medicare Beneficiaries With Medical Services | 3385 |
| Total Medical Submitted Charge Amount | 820983 |
| Total Medical Medicare Allowed Amount | 287010.87 |
| Total Medical Medicare Payment Amount | 224622.91 |
| Total Medical Medicare Standardized Payment Amount | 217686.64 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 598 |
| Number Of Beneficiaries Age 65 to 74 | 1381 |
| Number Of Beneficiaries Age 75 to 84 | 933 |
| Number Of Beneficiaries Age Greater 84 | 473 |
| Number Of Female Beneficiaries | 2178 |
| Number Of Male Beneficiaries | 1207 |
| Number Of Non Hispanic White Beneficiaries | 2136 |
| Number Of Black or African American Beneficiaries | 53 |
| Number Of AsianPacific Islander Beneficiaries | 96 |
| Number Of Hispanic Beneficiaries | 1036 |
| Number Of American Indian Alaska Native Beneficiaries | 30 |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1952 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1433 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6484 |