| National Provider Identifier [NPI]: | 1174666994 |
| Last Name Of The Provider | SEIPEL |
| First Name Of The Provider | TIMOTHY |
| 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 | 12951 SOUTH FWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | HOUSTON |
| Zip Code Of The Provider | 770471923 |
| 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 | 117 |
| Number Of Services | 7115 |
| Number Of Medicare Beneficiaries | 4466 |
| Total Submitted Charge Amount | 1687567 |
| Total Medicare Allowed Amount | 281075.63 |
| Total Medicare Payment Amount | 212330.55 |
| Total Medicare Standardized Payment Amount | 214133.82 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 117 |
| Number Of Medical Services | 7115 |
| Number Of Medicare Beneficiaries With Medical Services | 4466 |
| Total Medical Submitted Charge Amount | 1687567 |
| Total Medical Medicare Allowed Amount | 281075.63 |
| Total Medical Medicare Payment Amount | 212330.55 |
| Total Medical Medicare Standardized Payment Amount | 214133.82 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 712 |
| Number Of Beneficiaries Age 65 to 74 | 1662 |
| Number Of Beneficiaries Age 75 to 84 | 1354 |
| Number Of Beneficiaries Age Greater 84 | 738 |
| Number Of Female Beneficiaries | 2485 |
| Number Of Male Beneficiaries | 1981 |
| Number Of Non Hispanic White Beneficiaries | 3209 |
| Number Of Black or African American Beneficiaries | 724 |
| Number Of AsianPacific Islander Beneficiaries | 114 |
| Number Of Hispanic Beneficiaries | 381 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3685 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 781 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 22 |
| Average HCC Risk Score Of Beneficiaries | 2.099 |