| National Provider Identifier [NPI]: | 1700840584 |
| Last Name Of The Provider | TYLER |
| First Name Of The Provider | EARL |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4215 JOE RAMSEY BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | GREENVILLE |
| Zip Code Of The Provider | 75403 |
| 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 | 75 |
| Number Of Services | 12951 |
| Number Of Medicare Beneficiaries | 7136 |
| Total Submitted Charge Amount | 674822.89 |
| Total Medicare Allowed Amount | 153591.16 |
| Total Medicare Payment Amount | 114532.63 |
| Total Medicare Standardized Payment Amount | 119288.37 |
| 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 | 75 |
| Number Of Medical Services | 12951 |
| Number Of Medicare Beneficiaries With Medical Services | 7136 |
| Total Medical Submitted Charge Amount | 674822.89 |
| Total Medical Medicare Allowed Amount | 153591.16 |
| Total Medical Medicare Payment Amount | 114532.63 |
| Total Medical Medicare Standardized Payment Amount | 119288.37 |
| Average Age Of Beneficiaries | 80 |
| Number Of Beneficiaries Age Less65 | 601 |
| Number Of Beneficiaries Age 65 to 74 | 1376 |
| Number Of Beneficiaries Age 75 to 84 | 2274 |
| Number Of Beneficiaries Age Greater 84 | 2885 |
| Number Of Female Beneficiaries | 4902 |
| Number Of Male Beneficiaries | 2234 |
| Number Of Non Hispanic White Beneficiaries | 5621 |
| Number Of Black or African American Beneficiaries | 946 |
| Number Of AsianPacific Islander Beneficiaries | 106 |
| Number Of Hispanic Beneficiaries | 411 |
| Number Of American Indian Alaska Native Beneficiaries | 22 |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3057 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 4079 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 71 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 75 |
| Percent Of With Chronic Kidney Disease | 56 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 60 |
| Percent Of With Diabetes | 58 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 21 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 64 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 23 |
| Percent Of With Stroke | 21 |
| Average HCC Risk Score Of Beneficiaries | 2.6355 |