| National Provider Identifier [NPI]: | 1841210564 |
| Last Name Of The Provider | APPELT |
| First Name Of The Provider | ERIC |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| 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 | 213 |
| Number Of Services | 10016 |
| Number Of Medicare Beneficiaries | 4618 |
| Total Submitted Charge Amount | 1130323 |
| Total Medicare Allowed Amount | 246080.88 |
| Total Medicare Payment Amount | 185062.82 |
| Total Medicare Standardized Payment Amount | 196852.9 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2678 |
| Number Of Medicare Beneficiaries With Drug Services | 56 |
| Total Drug Submitted ChargeAmount | 3532 |
| Total Drug Medicare AllowedAmount | 1241.13 |
| Total Drug Medicare PaymentAmount | 964.13 |
| Total Drug Medicare Standardized Payment Amount | 964.13 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 211 |
| Number Of Medical Services | 7338 |
| Number Of Medicare Beneficiaries With Medical Services | 4618 |
| Total Medical Submitted Charge Amount | 1126791 |
| Total Medical Medicare Allowed Amount | 244839.75 |
| Total Medical Medicare Payment Amount | 184098.69 |
| Total Medical Medicare Standardized Payment Amount | 195888.77 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 800 |
| Number Of Beneficiaries Age 65 to 74 | 1679 |
| Number Of Beneficiaries Age 75 to 84 | 1395 |
| Number Of Beneficiaries Age Greater 84 | 744 |
| Number Of Female Beneficiaries | 2913 |
| Number Of Male Beneficiaries | 1705 |
| Number Of Non Hispanic White Beneficiaries | 3552 |
| Number Of Black or African American Beneficiaries | 710 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 315 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3415 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1203 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5774 |