| National Provider Identifier [NPI]: | 1487857504 |
| Last Name Of The Provider | KRUGER |
| First Name Of The Provider | ARIEL |
| Middle Initial Of The Provider | Y |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8401 DATAPOINT DR |
| Street Address 2 Of The Provider | SUITE 600 |
| City Of The Provider | SAN ANTONIO |
| Zip Code Of The Provider | 782295900 |
| 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 | 173 |
| Number Of Services | 86689 |
| Number Of Medicare Beneficiaries | 4834 |
| Total Submitted Charge Amount | 3861690.9 |
| Total Medicare Allowed Amount | 967862.29 |
| Total Medicare Payment Amount | 751267.04 |
| Total Medicare Standardized Payment Amount | 821441.36 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 80037 |
| Number Of Medicare Beneficiaries With Drug Services | 995 |
| Total Drug Submitted ChargeAmount | 61763.5 |
| Total Drug Medicare AllowedAmount | 26599.27 |
| Total Drug Medicare PaymentAmount | 20294.43 |
| Total Drug Medicare Standardized Payment Amount | 20294.43 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 169 |
| Number Of Medical Services | 6652 |
| Number Of Medicare Beneficiaries With Medical Services | 4833 |
| Total Medical Submitted Charge Amount | 3799927.4 |
| Total Medical Medicare Allowed Amount | 941263.02 |
| Total Medical Medicare Payment Amount | 730972.61 |
| Total Medical Medicare Standardized Payment Amount | 801146.93 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 648 |
| Number Of Beneficiaries Age 65 to 74 | 2057 |
| Number Of Beneficiaries Age 75 to 84 | 1464 |
| Number Of Beneficiaries Age Greater 84 | 665 |
| Number Of Female Beneficiaries | 2859 |
| Number Of Male Beneficiaries | 1975 |
| Number Of Non Hispanic White Beneficiaries | 3328 |
| Number Of Black or African American Beneficiaries | 199 |
| Number Of AsianPacific Islander Beneficiaries | 62 |
| Number Of Hispanic Beneficiaries | 1190 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4007 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 827 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.7058 |