| National Provider Identifier [NPI]: | 1013966043 |
| Last Name Of The Provider | CROWHURST |
| First Name Of The Provider | BRIAN |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1750 NORTH HAMPTON ROAD |
| Street Address 2 Of The Provider | |
| City Of The Provider | DESOTO |
| Zip Code Of The Provider | 75115 |
| 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 | 159 |
| Number Of Services | 10870 |
| Number Of Medicare Beneficiaries | 3175 |
| Total Submitted Charge Amount | 1187456.09 |
| Total Medicare Allowed Amount | 206989.85 |
| Total Medicare Payment Amount | 156235.13 |
| Total Medicare Standardized Payment Amount | 158898.11 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 5384 |
| Number Of Medicare Beneficiaries With Drug Services | 85 |
| Total Drug Submitted ChargeAmount | 12346.5 |
| Total Drug Medicare AllowedAmount | 2094.58 |
| Total Drug Medicare PaymentAmount | 1639.96 |
| Total Drug Medicare Standardized Payment Amount | 1639.96 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 153 |
| Number Of Medical Services | 5486 |
| Number Of Medicare Beneficiaries With Medical Services | 3175 |
| Total Medical Submitted Charge Amount | 1175109.59 |
| Total Medical Medicare Allowed Amount | 204895.27 |
| Total Medical Medicare Payment Amount | 154595.17 |
| Total Medical Medicare Standardized Payment Amount | 157258.15 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 898 |
| Number Of Beneficiaries Age 65 to 74 | 1132 |
| Number Of Beneficiaries Age 75 to 84 | 733 |
| Number Of Beneficiaries Age Greater 84 | 412 |
| Number Of Female Beneficiaries | 1926 |
| Number Of Male Beneficiaries | 1249 |
| Number Of Non Hispanic White Beneficiaries | 1233 |
| Number Of Black or African American Beneficiaries | 1456 |
| Number Of AsianPacific Islander Beneficiaries | 29 |
| Number Of Hispanic Beneficiaries | 424 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1865 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1310 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 29 |
| Percent Of With Asthma | 18 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 49 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 52 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 2.5666 |