| National Provider Identifier [NPI]: | 1205817186 |
| Last Name Of The Provider | SCHACKMUTH |
| First Name Of The Provider | ERIC |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6250 US HIGHWAY 83 |
| Street Address 2 Of The Provider | ABILENE REGIONAL MEDICAL CENTER RADIOLOGY DEPARTMENT |
| City Of The Provider | ABILENE |
| Zip Code Of The Provider | 796065215 |
| 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 | 216 |
| Number Of Services | 10044 |
| Number Of Medicare Beneficiaries | 4340 |
| Total Submitted Charge Amount | 945915 |
| Total Medicare Allowed Amount | 300416.78 |
| Total Medicare Payment Amount | 228601.55 |
| Total Medicare Standardized Payment Amount | 240609.65 |
| 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 | 216 |
| Number Of Medical Services | 10044 |
| Number Of Medicare Beneficiaries With Medical Services | 4340 |
| Total Medical Submitted Charge Amount | 945915 |
| Total Medical Medicare Allowed Amount | 300416.78 |
| Total Medical Medicare Payment Amount | 228601.55 |
| Total Medical Medicare Standardized Payment Amount | 240609.65 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 669 |
| Number Of Beneficiaries Age 65 to 74 | 1706 |
| Number Of Beneficiaries Age 75 to 84 | 1394 |
| Number Of Beneficiaries Age Greater 84 | 571 |
| Number Of Female Beneficiaries | 2538 |
| Number Of Male Beneficiaries | 1802 |
| Number Of Non Hispanic White Beneficiaries | 3808 |
| Number Of Black or African American Beneficiaries | 132 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 344 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3405 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 935 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3948 |