| National Provider Identifier [NPI]: | 1144208315 |
| Last Name Of The Provider | HOUCK |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2100 AVONDALE ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | WICHITA FALLS |
| Zip Code Of The Provider | 763081250 |
| 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 | 248 |
| Number Of Services | 13402 |
| Number Of Medicare Beneficiaries | 6060 |
| Total Submitted Charge Amount | 1371567 |
| Total Medicare Allowed Amount | 356109.95 |
| Total Medicare Payment Amount | 276251.26 |
| Total Medicare Standardized Payment Amount | 288993.49 |
| 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 | 248 |
| Number Of Medical Services | 13402 |
| Number Of Medicare Beneficiaries With Medical Services | 6060 |
| Total Medical Submitted Charge Amount | 1371567 |
| Total Medical Medicare Allowed Amount | 356109.95 |
| Total Medical Medicare Payment Amount | 276251.26 |
| Total Medical Medicare Standardized Payment Amount | 288993.49 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 999 |
| Number Of Beneficiaries Age 65 to 74 | 2333 |
| Number Of Beneficiaries Age 75 to 84 | 1836 |
| Number Of Beneficiaries Age Greater 84 | 892 |
| Number Of Female Beneficiaries | 3683 |
| Number Of Male Beneficiaries | 2377 |
| Number Of Non Hispanic White Beneficiaries | 5609 |
| Number Of Black or African American Beneficiaries | 176 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| Number Of Hispanic Beneficiaries | 184 |
| Number Of American Indian Alaska Native Beneficiaries | 50 |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4569 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1491 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.559 |