| National Provider Identifier [NPI]: | 1174529507 |
| Last Name Of The Provider | WHITE |
| First Name Of The Provider | STEVEN |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4005 24TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | LUBBOCK |
| Zip Code Of The Provider | 794101835 |
| 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 | 225 |
| Number Of Services | 8188 |
| Number Of Medicare Beneficiaries | 3634 |
| Total Submitted Charge Amount | 964023.5 |
| Total Medicare Allowed Amount | 176770.42 |
| Total Medicare Payment Amount | 136063.9 |
| Total Medicare Standardized Payment Amount | 141389.36 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 2620 |
| Number Of Medicare Beneficiaries With Drug Services | 40 |
| Total Drug Submitted ChargeAmount | 2935.5 |
| Total Drug Medicare AllowedAmount | 806.12 |
| Total Drug Medicare PaymentAmount | 608.86 |
| Total Drug Medicare Standardized Payment Amount | 608.86 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 221 |
| Number Of Medical Services | 5568 |
| Number Of Medicare Beneficiaries With Medical Services | 3634 |
| Total Medical Submitted Charge Amount | 961088 |
| Total Medical Medicare Allowed Amount | 175964.3 |
| Total Medical Medicare Payment Amount | 135455.04 |
| Total Medical Medicare Standardized Payment Amount | 140780.5 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 509 |
| Number Of Beneficiaries Age 65 to 74 | 1373 |
| Number Of Beneficiaries Age 75 to 84 | 1220 |
| Number Of Beneficiaries Age Greater 84 | 532 |
| Number Of Female Beneficiaries | 2283 |
| Number Of Male Beneficiaries | 1351 |
| Number Of Non Hispanic White Beneficiaries | 2714 |
| Number Of Black or African American Beneficiaries | 143 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 741 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 17 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2783 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 851 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5547 |