| National Provider Identifier [NPI]: | 1881699262 |
| Last Name Of The Provider | MOSKOS |
| First Name Of The Provider | BILL |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4005 24TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | LUBBOCK |
| Zip Code Of The Provider | 794101835 |
| 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 | 223 |
| Number Of Services | 9664 |
| Number Of Medicare Beneficiaries | 4035 |
| Total Submitted Charge Amount | 1179875.5 |
| Total Medicare Allowed Amount | 209450.81 |
| Total Medicare Payment Amount | 159732.61 |
| Total Medicare Standardized Payment Amount | 169073.78 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 3085 |
| Number Of Medicare Beneficiaries With Drug Services | 43 |
| Total Drug Submitted ChargeAmount | 3322.5 |
| Total Drug Medicare AllowedAmount | 867.56 |
| Total Drug Medicare PaymentAmount | 659.33 |
| Total Drug Medicare Standardized Payment Amount | 659.33 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 218 |
| Number Of Medical Services | 6579 |
| Number Of Medicare Beneficiaries With Medical Services | 4035 |
| Total Medical Submitted Charge Amount | 1176553 |
| Total Medical Medicare Allowed Amount | 208583.25 |
| Total Medical Medicare Payment Amount | 159073.28 |
| Total Medical Medicare Standardized Payment Amount | 168414.45 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 581 |
| Number Of Beneficiaries Age 65 to 74 | 1402 |
| Number Of Beneficiaries Age 75 to 84 | 1380 |
| Number Of Beneficiaries Age Greater 84 | 672 |
| Number Of Female Beneficiaries | 2452 |
| Number Of Male Beneficiaries | 1583 |
| Number Of Non Hispanic White Beneficiaries | 3001 |
| Number Of Black or African American Beneficiaries | 186 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 790 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3089 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 946 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7536 |