| National Provider Identifier [NPI]: | 1124020318 |
| Last Name Of The Provider | BRUENING |
| First Name Of The Provider | BRIAN |
| Middle Initial Of The Provider | J |
| 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 | 250 |
| Number Of Services | 16477 |
| Number Of Medicare Beneficiaries | 3273 |
| Total Submitted Charge Amount | 1737627 |
| Total Medicare Allowed Amount | 338031.76 |
| Total Medicare Payment Amount | 257801.04 |
| Total Medicare Standardized Payment Amount | 280275.41 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 10590 |
| Number Of Medicare Beneficiaries With Drug Services | 132 |
| Total Drug Submitted ChargeAmount | 12099 |
| Total Drug Medicare AllowedAmount | 3166.25 |
| Total Drug Medicare PaymentAmount | 2373.89 |
| Total Drug Medicare Standardized Payment Amount | 2373.89 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 246 |
| Number Of Medical Services | 5887 |
| Number Of Medicare Beneficiaries With Medical Services | 3273 |
| Total Medical Submitted Charge Amount | 1725528 |
| Total Medical Medicare Allowed Amount | 334865.51 |
| Total Medical Medicare Payment Amount | 255427.15 |
| Total Medical Medicare Standardized Payment Amount | 277901.52 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 489 |
| Number Of Beneficiaries Age 65 to 74 | 1227 |
| Number Of Beneficiaries Age 75 to 84 | 1052 |
| Number Of Beneficiaries Age Greater 84 | 505 |
| Number Of Female Beneficiaries | 2015 |
| Number Of Male Beneficiaries | 1258 |
| Number Of Non Hispanic White Beneficiaries | 2442 |
| Number Of Black or African American Beneficiaries | 127 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 660 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2536 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 737 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.8204 |