| National Provider Identifier [NPI]: | 1467454736 |
| Last Name Of The Provider | RICHARDSON |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 851 HIGHWAY 287 N |
| Street Address 2 Of The Provider | |
| City Of The Provider | MANSFIELD |
| Zip Code Of The Provider | 760632634 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 63 |
| Number Of Services | 8410 |
| Number Of Medicare Beneficiaries | 3562 |
| Total Submitted Charge Amount | 714219.24 |
| Total Medicare Allowed Amount | 357862.14 |
| Total Medicare Payment Amount | 265698.01 |
| Total Medicare Standardized Payment Amount | 262445.89 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 184 |
| Number Of Medicare Beneficiaries With Drug Services | 45 |
| Total Drug Submitted ChargeAmount | 9403.24 |
| Total Drug Medicare AllowedAmount | 9287.51 |
| Total Drug Medicare PaymentAmount | 7136.54 |
| Total Drug Medicare Standardized Payment Amount | 7136.54 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 61 |
| Number Of Medical Services | 8226 |
| Number Of Medicare Beneficiaries With Medical Services | 3562 |
| Total Medical Submitted Charge Amount | 704816 |
| Total Medical Medicare Allowed Amount | 348574.63 |
| Total Medical Medicare Payment Amount | 258561.47 |
| Total Medical Medicare Standardized Payment Amount | 255309.35 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 796 |
| Number Of Beneficiaries Age 65 to 74 | 1141 |
| Number Of Beneficiaries Age 75 to 84 | 1026 |
| Number Of Beneficiaries Age Greater 84 | 599 |
| Number Of Female Beneficiaries | 2104 |
| Number Of Male Beneficiaries | 1458 |
| Number Of Non Hispanic White Beneficiaries | 1966 |
| Number Of Black or African American Beneficiaries | 1246 |
| Number Of AsianPacific Islander Beneficiaries | 42 |
| Number Of Hispanic Beneficiaries | 278 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 17 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2407 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1155 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 31 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 51 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.3831 |