| National Provider Identifier [NPI]: | 1528043155 |
| Last Name Of The Provider | GARVISH |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | M. D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2404 YONKERS ST |
| Street Address 2 Of The Provider | SUITE 4 |
| City Of The Provider | PLAINVIEW |
| Zip Code Of The Provider | 790721820 |
| 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 | 146 |
| Number Of Services | 12465 |
| Number Of Medicare Beneficiaries | 5030 |
| Total Submitted Charge Amount | 1709959 |
| Total Medicare Allowed Amount | 483147.56 |
| Total Medicare Payment Amount | 377413.72 |
| Total Medicare Standardized Payment Amount | 403626.79 |
| 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 | 146 |
| Number Of Medical Services | 12465 |
| Number Of Medicare Beneficiaries With Medical Services | 5030 |
| Total Medical Submitted Charge Amount | 1709959 |
| Total Medical Medicare Allowed Amount | 483147.56 |
| Total Medical Medicare Payment Amount | 377413.72 |
| Total Medical Medicare Standardized Payment Amount | 403626.79 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 706 |
| Number Of Beneficiaries Age 65 to 74 | 1959 |
| Number Of Beneficiaries Age 75 to 84 | 1613 |
| Number Of Beneficiaries Age Greater 84 | 752 |
| Number Of Female Beneficiaries | 3245 |
| Number Of Male Beneficiaries | 1785 |
| Number Of Non Hispanic White Beneficiaries | 3675 |
| Number Of Black or African American Beneficiaries | 159 |
| Number Of AsianPacific Islander Beneficiaries | 29 |
| Number Of Hispanic Beneficiaries | 1136 |
| Number Of American Indian Alaska Native Beneficiaries | 15 |
| Number Of Beneficiaries With Race Not Else where Classified | 16 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3712 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1318 |
| Percent Of With Atrial Fibrillation | 8 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.1379 |