| National Provider Identifier [NPI]: | 1972512465 |
| Last Name Of The Provider | THARP |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2710 HOSPITAL DR |
| Street Address 2 Of The Provider | SUITE 110 |
| City Of The Provider | VICTORIA |
| Zip Code Of The Provider | 779015701 |
| 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 | 204 |
| Number Of Services | 6693 |
| Number Of Medicare Beneficiaries | 3710 |
| Total Submitted Charge Amount | 999551 |
| Total Medicare Allowed Amount | 227327.56 |
| Total Medicare Payment Amount | 172633.45 |
| Total Medicare Standardized Payment Amount | 180949.61 |
| 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 | 204 |
| Number Of Medical Services | 6693 |
| Number Of Medicare Beneficiaries With Medical Services | 3710 |
| Total Medical Submitted Charge Amount | 999551 |
| Total Medical Medicare Allowed Amount | 227327.56 |
| Total Medical Medicare Payment Amount | 172633.45 |
| Total Medical Medicare Standardized Payment Amount | 180949.61 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 521 |
| Number Of Beneficiaries Age 65 to 74 | 1438 |
| Number Of Beneficiaries Age 75 to 84 | 1183 |
| Number Of Beneficiaries Age Greater 84 | 568 |
| Number Of Female Beneficiaries | 2322 |
| Number Of Male Beneficiaries | 1388 |
| Number Of Non Hispanic White Beneficiaries | 2639 |
| Number Of Black or African American Beneficiaries | 245 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 785 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2753 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 957 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4608 |