| National Provider Identifier [NPI]: | 1487628293 |
| Last Name Of The Provider | MOREAU |
| First Name Of The Provider | MARC |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1901 PORT LN |
| Street Address 2 Of The Provider | |
| City Of The Provider | AMARILLO |
| Zip Code Of The Provider | 791062430 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 151 |
| Number Of Services | 84387 |
| Number Of Medicare Beneficiaries | 2712 |
| Total Submitted Charge Amount | 9601226.62 |
| Total Medicare Allowed Amount | 2385363.85 |
| Total Medicare Payment Amount | 1792557.5 |
| Total Medicare Standardized Payment Amount | 1985680.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 69619 |
| Number Of Medicare Beneficiaries With Drug Services | 519 |
| Total Drug Submitted ChargeAmount | 221072 |
| Total Drug Medicare AllowedAmount | 56212.55 |
| Total Drug Medicare PaymentAmount | 43353.99 |
| Total Drug Medicare Standardized Payment Amount | 43353.99 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 145 |
| Number Of Medical Services | 14768 |
| Number Of Medicare Beneficiaries With Medical Services | 2712 |
| Total Medical Submitted Charge Amount | 9380154.62 |
| Total Medical Medicare Allowed Amount | 2329151.3 |
| Total Medical Medicare Payment Amount | 1749203.51 |
| Total Medical Medicare Standardized Payment Amount | 1942326.53 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 285 |
| Number Of Beneficiaries Age 65 to 74 | 1084 |
| Number Of Beneficiaries Age 75 to 84 | 973 |
| Number Of Beneficiaries Age Greater 84 | 370 |
| Number Of Female Beneficiaries | 1443 |
| Number Of Male Beneficiaries | 1269 |
| Number Of Non Hispanic White Beneficiaries | 2256 |
| Number Of Black or African American Beneficiaries | 74 |
| Number Of AsianPacific Islander Beneficiaries | 13 |
| Number Of Hispanic Beneficiaries | 344 |
| Number Of American Indian Alaska Native Beneficiaries | 12 |
| Number Of Beneficiaries With Race Not Else where Classified | 13 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2240 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 472 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.4729 |