| National Provider Identifier [NPI]: | 1306937198 |
| Last Name Of The Provider | FISCHER |
| First Name Of The Provider | IAN |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5016 S US HIGHWAY 75 |
| Street Address 2 Of The Provider | RADIOLOGY DEPARTMENT |
| City Of The Provider | DENISON |
| Zip Code Of The Provider | 750204584 |
| 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 | 211 |
| Number Of Services | 9088 |
| Number Of Medicare Beneficiaries | 4996 |
| Total Submitted Charge Amount | 1173384 |
| Total Medicare Allowed Amount | 296814.18 |
| Total Medicare Payment Amount | 226855.47 |
| Total Medicare Standardized Payment Amount | 239607.88 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 211 |
| Number Of Medical Services | 9088 |
| Number Of Medicare Beneficiaries With Medical Services | 4996 |
| Total Medical Submitted Charge Amount | 1173384 |
| Total Medical Medicare Allowed Amount | 296814.18 |
| Total Medical Medicare Payment Amount | 226855.47 |
| Total Medical Medicare Standardized Payment Amount | 239607.88 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1002 |
| Number Of Beneficiaries Age 65 to 74 | 1856 |
| Number Of Beneficiaries Age 75 to 84 | 1414 |
| Number Of Beneficiaries Age Greater 84 | 724 |
| Number Of Female Beneficiaries | 2936 |
| Number Of Male Beneficiaries | 2060 |
| Number Of Non Hispanic White Beneficiaries | 4473 |
| Number Of Black or African American Beneficiaries | 167 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 91 |
| Number Of American Indian Alaska Native Beneficiaries | 227 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3502 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1494 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 40 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 1.7541 |