| National Provider Identifier [NPI]: | 1740284181 |
| Last Name Of The Provider | JOHNSON |
| First Name Of The Provider | CARSON |
| Middle Initial Of The Provider | L |
| 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 | 228 |
| Number Of Services | 17136 |
| Number Of Medicare Beneficiaries | 4492 |
| Total Submitted Charge Amount | 1662311 |
| Total Medicare Allowed Amount | 292663.12 |
| Total Medicare Payment Amount | 227868.01 |
| Total Medicare Standardized Payment Amount | 243996.69 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 8807 |
| Number Of Medicare Beneficiaries With Drug Services | 114 |
| Total Drug Submitted ChargeAmount | 9551 |
| Total Drug Medicare AllowedAmount | 2527.75 |
| Total Drug Medicare PaymentAmount | 1954.34 |
| Total Drug Medicare Standardized Payment Amount | 1954.34 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 223 |
| Number Of Medical Services | 8329 |
| Number Of Medicare Beneficiaries With Medical Services | 4492 |
| Total Medical Submitted Charge Amount | 1652760 |
| Total Medical Medicare Allowed Amount | 290135.37 |
| Total Medical Medicare Payment Amount | 225913.67 |
| Total Medical Medicare Standardized Payment Amount | 242042.35 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 636 |
| Number Of Beneficiaries Age 65 to 74 | 1724 |
| Number Of Beneficiaries Age 75 to 84 | 1466 |
| Number Of Beneficiaries Age Greater 84 | 666 |
| Number Of Female Beneficiaries | 2803 |
| Number Of Male Beneficiaries | 1689 |
| Number Of Non Hispanic White Beneficiaries | 3302 |
| Number Of Black or African American Beneficiaries | 211 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 927 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 28 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3437 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1055 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5981 |