| National Provider Identifier [NPI]: | 1285674531 |
| Last Name Of The Provider | JOHNSON |
| First Name Of The Provider | PATRICK |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7026 OLD KATY RD |
| Street Address 2 Of The Provider | SUITE 276 |
| City Of The Provider | HOUSTON |
| Zip Code Of The Provider | 770242133 |
| 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 | 155 |
| Number Of Services | 22186 |
| Number Of Medicare Beneficiaries | 3135 |
| Total Submitted Charge Amount | 748206.26 |
| Total Medicare Allowed Amount | 216060.44 |
| Total Medicare Payment Amount | 165488.47 |
| Total Medicare Standardized Payment Amount | 166469.06 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 17300 |
| Number Of Medicare Beneficiaries With Drug Services | 172 |
| Total Drug Submitted ChargeAmount | 5815 |
| Total Drug Medicare AllowedAmount | 3662.9 |
| Total Drug Medicare PaymentAmount | 2857.98 |
| Total Drug Medicare Standardized Payment Amount | 2857.98 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 153 |
| Number Of Medical Services | 4886 |
| Number Of Medicare Beneficiaries With Medical Services | 3135 |
| Total Medical Submitted Charge Amount | 742391.26 |
| Total Medical Medicare Allowed Amount | 212397.54 |
| Total Medical Medicare Payment Amount | 162630.49 |
| Total Medical Medicare Standardized Payment Amount | 163611.08 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 619 |
| Number Of Beneficiaries Age 65 to 74 | 1083 |
| Number Of Beneficiaries Age 75 to 84 | 852 |
| Number Of Beneficiaries Age Greater 84 | 581 |
| Number Of Female Beneficiaries | 1769 |
| Number Of Male Beneficiaries | 1366 |
| Number Of Non Hispanic White Beneficiaries | 1543 |
| Number Of Black or African American Beneficiaries | 820 |
| Number Of AsianPacific Islander Beneficiaries | 177 |
| Number Of Hispanic Beneficiaries | 555 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2027 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1108 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 49 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.3126 |