| National Provider Identifier [NPI]: | 1083691810 |
| Last Name Of The Provider | VELEZ |
| First Name Of The Provider | JORGE |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8401 DATAPOINT DR STE 600 |
| Street Address 2 Of The Provider | |
| City Of The Provider | SAN ANTONIO |
| Zip Code Of The Provider | 782295907 |
| 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 | 243 |
| Number Of Services | 18773 |
| Number Of Medicare Beneficiaries | 6060 |
| Total Submitted Charge Amount | 1895587.5 |
| Total Medicare Allowed Amount | 513929.56 |
| Total Medicare Payment Amount | 398910.35 |
| Total Medicare Standardized Payment Amount | 429018.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 9600 |
| Number Of Medicare Beneficiaries With Drug Services | 98 |
| Total Drug Submitted ChargeAmount | 6492.5 |
| Total Drug Medicare AllowedAmount | 2871.73 |
| Total Drug Medicare PaymentAmount | 2251.29 |
| Total Drug Medicare Standardized Payment Amount | 2251.29 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 240 |
| Number Of Medical Services | 9173 |
| Number Of Medicare Beneficiaries With Medical Services | 6060 |
| Total Medical Submitted Charge Amount | 1889095 |
| Total Medical Medicare Allowed Amount | 511057.83 |
| Total Medical Medicare Payment Amount | 396659.06 |
| Total Medical Medicare Standardized Payment Amount | 426767.35 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1156 |
| Number Of Beneficiaries Age 65 to 74 | 2101 |
| Number Of Beneficiaries Age 75 to 84 | 1778 |
| Number Of Beneficiaries Age Greater 84 | 1025 |
| Number Of Female Beneficiaries | 3294 |
| Number Of Male Beneficiaries | 2766 |
| Number Of Non Hispanic White Beneficiaries | 3415 |
| Number Of Black or African American Beneficiaries | 299 |
| Number Of AsianPacific Islander Beneficiaries | 58 |
| Number Of Hispanic Beneficiaries | 2239 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4306 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1754 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 51 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 51 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.3166 |