| National Provider Identifier [NPI]: | 1588610083 |
| Last Name Of The Provider | HAAS |
| First Name Of The Provider | STEPHAN |
| Middle Initial Of The Provider | O |
| 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 | STE 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 | 214 |
| Number Of Services | 6335 |
| Number Of Medicare Beneficiaries | 3642 |
| Total Submitted Charge Amount | 1168274.2 |
| Total Medicare Allowed Amount | 244241.58 |
| Total Medicare Payment Amount | 187269.97 |
| Total Medicare Standardized Payment Amount | 198456.42 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 734 |
| Number Of Medicare Beneficiaries With Drug Services | 29 |
| Total Drug Submitted ChargeAmount | 3925.2 |
| Total Drug Medicare AllowedAmount | 920.43 |
| Total Drug Medicare PaymentAmount | 712.28 |
| Total Drug Medicare Standardized Payment Amount | 712.28 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 212 |
| Number Of Medical Services | 5601 |
| Number Of Medicare Beneficiaries With Medical Services | 3642 |
| Total Medical Submitted Charge Amount | 1164349 |
| Total Medical Medicare Allowed Amount | 243321.15 |
| Total Medical Medicare Payment Amount | 186557.69 |
| Total Medical Medicare Standardized Payment Amount | 197744.14 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 549 |
| Number Of Beneficiaries Age 65 to 74 | 1238 |
| Number Of Beneficiaries Age 75 to 84 | 1200 |
| Number Of Beneficiaries Age Greater 84 | 655 |
| Number Of Female Beneficiaries | 2172 |
| Number Of Male Beneficiaries | 1470 |
| Number Of Non Hispanic White Beneficiaries | 2947 |
| Number Of Black or African American Beneficiaries | 166 |
| Number Of AsianPacific Islander Beneficiaries | 16 |
| Number Of Hispanic Beneficiaries | 468 |
| Number Of American Indian Alaska Native Beneficiaries | 29 |
| Number Of Beneficiaries With Race Not Else where Classified | 16 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2694 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 948 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.8076 |