| National Provider Identifier [NPI]: | 1598971913 |
| Last Name Of The Provider | PULNIK |
| First Name Of The Provider | JASON |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | |
| 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 | 197 |
| Number Of Services | 7269 |
| Number Of Medicare Beneficiaries | 4078 |
| Total Submitted Charge Amount | 916591 |
| Total Medicare Allowed Amount | 191016.01 |
| Total Medicare Payment Amount | 141944.61 |
| Total Medicare Standardized Payment Amount | 149660.41 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 732 |
| Number Of Medicare Beneficiaries With Drug Services | 16 |
| Total Drug Submitted ChargeAmount | 996 |
| Total Drug Medicare AllowedAmount | 394.8 |
| Total Drug Medicare PaymentAmount | 309.52 |
| Total Drug Medicare Standardized Payment Amount | 309.52 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 195 |
| Number Of Medical Services | 6537 |
| Number Of Medicare Beneficiaries With Medical Services | 4078 |
| Total Medical Submitted Charge Amount | 915595 |
| Total Medical Medicare Allowed Amount | 190621.21 |
| Total Medical Medicare Payment Amount | 141635.09 |
| Total Medical Medicare Standardized Payment Amount | 149350.89 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 706 |
| Number Of Beneficiaries Age 65 to 74 | 1519 |
| Number Of Beneficiaries Age 75 to 84 | 1237 |
| Number Of Beneficiaries Age Greater 84 | 616 |
| Number Of Female Beneficiaries | 2455 |
| Number Of Male Beneficiaries | 1623 |
| Number Of Non Hispanic White Beneficiaries | 3131 |
| Number Of Black or African American Beneficiaries | 632 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 262 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3021 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1057 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| 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 | 29 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6415 |