| National Provider Identifier [NPI]: | 1174585285 |
| Last Name Of The Provider | TINDALL |
| First Name Of The Provider | BRONSON |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2722 OSLER BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BRYAN |
| Zip Code Of The Provider | 778022517 |
| 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 | 12162 |
| Number Of Medicare Beneficiaries | 3975 |
| Total Submitted Charge Amount | 1161736 |
| Total Medicare Allowed Amount | 253763.41 |
| Total Medicare Payment Amount | 189372.37 |
| Total Medicare Standardized Payment Amount | 202835.26 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6046 |
| Number Of Medicare Beneficiaries With Drug Services | 90 |
| Total Drug Submitted ChargeAmount | 6372 |
| Total Drug Medicare AllowedAmount | 1363.08 |
| Total Drug Medicare PaymentAmount | 1068.92 |
| Total Drug Medicare Standardized Payment Amount | 1068.92 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 221 |
| Number Of Medical Services | 6116 |
| Number Of Medicare Beneficiaries With Medical Services | 3975 |
| Total Medical Submitted Charge Amount | 1155364 |
| Total Medical Medicare Allowed Amount | 252400.33 |
| Total Medical Medicare Payment Amount | 188303.45 |
| Total Medical Medicare Standardized Payment Amount | 201766.34 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 684 |
| Number Of Beneficiaries Age 65 to 74 | 1430 |
| Number Of Beneficiaries Age 75 to 84 | 1236 |
| Number Of Beneficiaries Age Greater 84 | 625 |
| Number Of Female Beneficiaries | 2473 |
| Number Of Male Beneficiaries | 1502 |
| Number Of Non Hispanic White Beneficiaries | 3051 |
| Number Of Black or African American Beneficiaries | 602 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 277 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2903 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1072 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6395 |