| National Provider Identifier [NPI]: | 1487615985 |
| Last Name Of The Provider | PAN |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1901 MEDI PARK |
| Street Address 2 Of The Provider | STE 2050 |
| City Of The Provider | AMARILLO |
| Zip Code Of The Provider | 791062110 |
| 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 | 184 |
| Number Of Services | 12069 |
| Number Of Medicare Beneficiaries | 4427 |
| Total Submitted Charge Amount | 1170811.77 |
| Total Medicare Allowed Amount | 229683.74 |
| Total Medicare Payment Amount | 177239.59 |
| Total Medicare Standardized Payment Amount | 189112.42 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 5587 |
| Number Of Medicare Beneficiaries With Drug Services | 81 |
| Total Drug Submitted ChargeAmount | 7215.77 |
| Total Drug Medicare AllowedAmount | 1784.95 |
| Total Drug Medicare PaymentAmount | 1378.17 |
| Total Drug Medicare Standardized Payment Amount | 1378.17 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 181 |
| Number Of Medical Services | 6482 |
| Number Of Medicare Beneficiaries With Medical Services | 4427 |
| Total Medical Submitted Charge Amount | 1163596 |
| Total Medical Medicare Allowed Amount | 227898.79 |
| Total Medical Medicare Payment Amount | 175861.42 |
| Total Medical Medicare Standardized Payment Amount | 187734.25 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 556 |
| Number Of Beneficiaries Age 65 to 74 | 1559 |
| Number Of Beneficiaries Age 75 to 84 | 1511 |
| Number Of Beneficiaries Age Greater 84 | 801 |
| Number Of Female Beneficiaries | 2787 |
| Number Of Male Beneficiaries | 1640 |
| Number Of Non Hispanic White Beneficiaries | 3680 |
| Number Of Black or African American Beneficiaries | 104 |
| Number Of AsianPacific Islander Beneficiaries | 17 |
| Number Of Hispanic Beneficiaries | 593 |
| Number Of American Indian Alaska Native Beneficiaries | 16 |
| Number Of Beneficiaries With Race Not Else where Classified | 17 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3503 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 924 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5171 |