| National Provider Identifier [NPI]: | 1386634533 |
| Last Name Of The Provider | FISHER |
| First Name Of The Provider | CHARLES |
| 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 | 1717 TREASURE HILLS BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | HARLINGEN |
| Zip Code Of The Provider | 785508912 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 241 |
| Number Of Services | 11166 |
| Number Of Medicare Beneficiaries | 6180 |
| Total Submitted Charge Amount | 1339442.43 |
| Total Medicare Allowed Amount | 316603.55 |
| Total Medicare Payment Amount | 241253.09 |
| Total Medicare Standardized Payment Amount | 251386.81 |
| 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 | 241 |
| Number Of Medical Services | 11166 |
| Number Of Medicare Beneficiaries With Medical Services | 6180 |
| Total Medical Submitted Charge Amount | 1339442.43 |
| Total Medical Medicare Allowed Amount | 316603.55 |
| Total Medical Medicare Payment Amount | 241253.09 |
| Total Medical Medicare Standardized Payment Amount | 251386.81 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1102 |
| Number Of Beneficiaries Age 65 to 74 | 2098 |
| Number Of Beneficiaries Age 75 to 84 | 2008 |
| Number Of Beneficiaries Age Greater 84 | 972 |
| Number Of Female Beneficiaries | 3717 |
| Number Of Male Beneficiaries | 2463 |
| Number Of Non Hispanic White Beneficiaries | 2054 |
| Number Of Black or African American Beneficiaries | 29 |
| Number Of AsianPacific Islander Beneficiaries | 33 |
| Number Of Hispanic Beneficiaries | 4049 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2825 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3355 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 56 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 2.0856 |