| National Provider Identifier [NPI]: | 1235399171 |
| Last Name Of The Provider | FLIPPIN |
| First Name Of The Provider | NICHOLAS |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2401 S 31ST ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | TEMPLE |
| Zip Code Of The Provider | 765080001 |
| 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 | 8191 |
| Number Of Medicare Beneficiaries | 3703 |
| Total Submitted Charge Amount | 1045118 |
| Total Medicare Allowed Amount | 230372.1 |
| Total Medicare Payment Amount | 173744.5 |
| Total Medicare Standardized Payment Amount | 183859.23 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2481 |
| Number Of Medicare Beneficiaries With Drug Services | 50 |
| Total Drug Submitted ChargeAmount | 3203 |
| Total Drug Medicare AllowedAmount | 1097.39 |
| Total Drug Medicare PaymentAmount | 834.12 |
| Total Drug Medicare Standardized Payment Amount | 834.12 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 209 |
| Number Of Medical Services | 5710 |
| Number Of Medicare Beneficiaries With Medical Services | 3703 |
| Total Medical Submitted Charge Amount | 1041915 |
| Total Medical Medicare Allowed Amount | 229274.71 |
| Total Medical Medicare Payment Amount | 172910.38 |
| Total Medical Medicare Standardized Payment Amount | 183025.11 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 618 |
| Number Of Beneficiaries Age 65 to 74 | 1355 |
| Number Of Beneficiaries Age 75 to 84 | 1169 |
| Number Of Beneficiaries Age Greater 84 | 561 |
| Number Of Female Beneficiaries | 2301 |
| Number Of Male Beneficiaries | 1402 |
| Number Of Non Hispanic White Beneficiaries | 2817 |
| Number Of Black or African American Beneficiaries | 585 |
| Number Of AsianPacific Islander Beneficiaries | 23 |
| Number Of Hispanic Beneficiaries | 250 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2753 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 950 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6064 |