| National Provider Identifier [NPI]: | 1164621637 |
| Last Name Of The Provider | HALL |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1901 MEDI PARK DR |
| Street Address 2 Of The Provider | SUITE 2050 |
| City Of The Provider | AMARILLO |
| Zip Code Of The Provider | 791062110 |
| 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 | 177 |
| Number Of Services | 10340 |
| Number Of Medicare Beneficiaries | 4322 |
| Total Submitted Charge Amount | 1304891.37 |
| Total Medicare Allowed Amount | 245468.07 |
| Total Medicare Payment Amount | 185837.63 |
| Total Medicare Standardized Payment Amount | 198388.02 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 4341 |
| Number Of Medicare Beneficiaries With Drug Services | 89 |
| Total Drug Submitted ChargeAmount | 13016.37 |
| Total Drug Medicare AllowedAmount | 3298.86 |
| Total Drug Medicare PaymentAmount | 2520.03 |
| Total Drug Medicare Standardized Payment Amount | 2520.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 174 |
| Number Of Medical Services | 5999 |
| Number Of Medicare Beneficiaries With Medical Services | 4322 |
| Total Medical Submitted Charge Amount | 1291875 |
| Total Medical Medicare Allowed Amount | 242169.21 |
| Total Medical Medicare Payment Amount | 183317.6 |
| Total Medical Medicare Standardized Payment Amount | 195867.99 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 559 |
| Number Of Beneficiaries Age 65 to 74 | 1558 |
| Number Of Beneficiaries Age 75 to 84 | 1473 |
| Number Of Beneficiaries Age Greater 84 | 732 |
| Number Of Female Beneficiaries | 2580 |
| Number Of Male Beneficiaries | 1742 |
| Number Of Non Hispanic White Beneficiaries | 3588 |
| Number Of Black or African American Beneficiaries | 114 |
| Number Of AsianPacific Islander Beneficiaries | 14 |
| Number Of Hispanic Beneficiaries | 570 |
| Number Of American Indian Alaska Native Beneficiaries | 15 |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3400 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 922 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5117 |