| National Provider Identifier [NPI]: | 1003815325 |
| Last Name Of The Provider | COOK |
| First Name Of The Provider | STANLEY |
| Middle Initial Of The Provider | D |
| 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 DR |
| Street Address 2 Of The Provider | SUITE 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 | 147 |
| Number Of Services | 10278 |
| Number Of Medicare Beneficiaries | 5837 |
| Total Submitted Charge Amount | 900625 |
| Total Medicare Allowed Amount | 201266.7 |
| Total Medicare Payment Amount | 153455.57 |
| Total Medicare Standardized Payment Amount | 161704 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 1805 |
| Number Of Medicare Beneficiaries With Drug Services | 22 |
| Total Drug Submitted ChargeAmount | 1203 |
| Total Drug Medicare AllowedAmount | 355.93 |
| Total Drug Medicare PaymentAmount | 279.05 |
| Total Drug Medicare Standardized Payment Amount | 279.05 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 146 |
| Number Of Medical Services | 8473 |
| Number Of Medicare Beneficiaries With Medical Services | 5837 |
| Total Medical Submitted Charge Amount | 899422 |
| Total Medical Medicare Allowed Amount | 200910.77 |
| Total Medical Medicare Payment Amount | 153176.52 |
| Total Medical Medicare Standardized Payment Amount | 161424.95 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 822 |
| Number Of Beneficiaries Age 65 to 74 | 2020 |
| Number Of Beneficiaries Age 75 to 84 | 1994 |
| Number Of Beneficiaries Age Greater 84 | 1001 |
| Number Of Female Beneficiaries | 3579 |
| Number Of Male Beneficiaries | 2258 |
| Number Of Non Hispanic White Beneficiaries | 4819 |
| Number Of Black or African American Beneficiaries | 129 |
| Number Of AsianPacific Islander Beneficiaries | 22 |
| Number Of Hispanic Beneficiaries | 808 |
| Number Of American Indian Alaska Native Beneficiaries | 30 |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4527 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1310 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.5206 |