| National Provider Identifier [NPI]: | 1164461760 |
| Last Name Of The Provider | BENTLEY |
| First Name Of The Provider | GAIL |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1901 MEDI PARK DR |
| Street Address 2 Of The Provider | SUITE 2050 |
| City Of The Provider | AMARILLO |
| Zip Code Of The Provider | 791062110 |
| 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 | 174 |
| Number Of Services | 10469 |
| Number Of Medicare Beneficiaries | 4484 |
| Total Submitted Charge Amount | 1135374.55 |
| Total Medicare Allowed Amount | 281005.56 |
| Total Medicare Payment Amount | 231265.72 |
| Total Medicare Standardized Payment Amount | 246682.95 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 2059 |
| Number Of Medicare Beneficiaries With Drug Services | 40 |
| Total Drug Submitted ChargeAmount | 6488.29 |
| Total Drug Medicare AllowedAmount | 1006.21 |
| Total Drug Medicare PaymentAmount | 756.59 |
| Total Drug Medicare Standardized Payment Amount | 756.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 171 |
| Number Of Medical Services | 8410 |
| Number Of Medicare Beneficiaries With Medical Services | 4484 |
| Total Medical Submitted Charge Amount | 1128886.26 |
| Total Medical Medicare Allowed Amount | 279999.35 |
| Total Medical Medicare Payment Amount | 230509.13 |
| Total Medical Medicare Standardized Payment Amount | 245926.36 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 489 |
| Number Of Beneficiaries Age 65 to 74 | 1871 |
| Number Of Beneficiaries Age 75 to 84 | 1508 |
| Number Of Beneficiaries Age Greater 84 | 616 |
| Number Of Female Beneficiaries | 3395 |
| Number Of Male Beneficiaries | 1089 |
| Number Of Non Hispanic White Beneficiaries | 3787 |
| Number Of Black or African American Beneficiaries | 134 |
| Number Of AsianPacific Islander Beneficiaries | 28 |
| Number Of Hispanic Beneficiaries | 489 |
| Number Of American Indian Alaska Native Beneficiaries | 23 |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3688 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 796 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3334 |