| National Provider Identifier [NPI]: | 1891762217 |
| Last Name Of The Provider | HEALY |
| First Name Of The Provider | MARK |
| 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 | 8401 DATAPOINT DR |
| Street Address 2 Of The Provider | SUITE 600 |
| City Of The Provider | SAN ANTONIO |
| Zip Code Of The Provider | 782295900 |
| 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 | 178 |
| Number Of Services | 20466 |
| Number Of Medicare Beneficiaries | 6850 |
| Total Submitted Charge Amount | 3330331.68 |
| Total Medicare Allowed Amount | 659195.86 |
| Total Medicare Payment Amount | 516866.84 |
| Total Medicare Standardized Payment Amount | 565863.42 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 10403 |
| Number Of Medicare Beneficiaries With Drug Services | 333 |
| Total Drug Submitted ChargeAmount | 20312 |
| Total Drug Medicare AllowedAmount | 9723.58 |
| Total Drug Medicare PaymentAmount | 7484.25 |
| Total Drug Medicare Standardized Payment Amount | 7484.25 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 175 |
| Number Of Medical Services | 10063 |
| Number Of Medicare Beneficiaries With Medical Services | 6850 |
| Total Medical Submitted Charge Amount | 3310019.68 |
| Total Medical Medicare Allowed Amount | 649472.28 |
| Total Medical Medicare Payment Amount | 509382.59 |
| Total Medical Medicare Standardized Payment Amount | 558379.17 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1130 |
| Number Of Beneficiaries Age 65 to 74 | 2547 |
| Number Of Beneficiaries Age 75 to 84 | 1987 |
| Number Of Beneficiaries Age Greater 84 | 1186 |
| Number Of Female Beneficiaries | 4077 |
| Number Of Male Beneficiaries | 2773 |
| Number Of Non Hispanic White Beneficiaries | 4162 |
| Number Of Black or African American Beneficiaries | 346 |
| Number Of AsianPacific Islander Beneficiaries | 55 |
| Number Of Hispanic Beneficiaries | 2235 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 5166 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1684 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.8873 |