| National Provider Identifier [NPI]: | 1063407203 |
| Last Name Of The Provider | CARNEY |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2608 MCDONALD RD |
| Street Address 2 Of The Provider | STE 100 |
| City Of The Provider | TYLER |
| Zip Code Of The Provider | 757015934 |
| 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 | 124 |
| Number Of Services | 13822 |
| Number Of Medicare Beneficiaries | 3138 |
| Total Submitted Charge Amount | 3048949.89 |
| Total Medicare Allowed Amount | 835663.61 |
| Total Medicare Payment Amount | 637997.66 |
| Total Medicare Standardized Payment Amount | 676339.7 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 4598 |
| Number Of Medicare Beneficiaries With Drug Services | 195 |
| Total Drug Submitted ChargeAmount | 72142.76 |
| Total Drug Medicare AllowedAmount | 26496.94 |
| Total Drug Medicare PaymentAmount | 20638.32 |
| Total Drug Medicare Standardized Payment Amount | 20638.32 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 116 |
| Number Of Medical Services | 9224 |
| Number Of Medicare Beneficiaries With Medical Services | 3138 |
| Total Medical Submitted Charge Amount | 2976807.13 |
| Total Medical Medicare Allowed Amount | 809166.67 |
| Total Medical Medicare Payment Amount | 617359.34 |
| Total Medical Medicare Standardized Payment Amount | 655701.38 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 344 |
| Number Of Beneficiaries Age 65 to 74 | 1216 |
| Number Of Beneficiaries Age 75 to 84 | 1066 |
| Number Of Beneficiaries Age Greater 84 | 512 |
| Number Of Female Beneficiaries | 1500 |
| Number Of Male Beneficiaries | 1638 |
| Number Of Non Hispanic White Beneficiaries | 2773 |
| Number Of Black or African American Beneficiaries | 298 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 47 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2630 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 508 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 72 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5469 |