| National Provider Identifier [NPI]: | 1417924283 |
| Last Name Of The Provider | DIX |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8401 DATAPOINT DR |
| Street Address 2 Of The Provider | SUITE 600 |
| City Of The Provider | SAN ANTONIO |
| Zip Code Of The Provider | 782295900 |
| 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 | 146 |
| Number Of Services | 33451 |
| Number Of Medicare Beneficiaries | 3884 |
| Total Submitted Charge Amount | 3606825.5 |
| Total Medicare Allowed Amount | 669699.51 |
| Total Medicare Payment Amount | 519705.26 |
| Total Medicare Standardized Payment Amount | 570632.02 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 27799 |
| Number Of Medicare Beneficiaries With Drug Services | 661 |
| Total Drug Submitted ChargeAmount | 42874.5 |
| Total Drug Medicare AllowedAmount | 20070.94 |
| Total Drug Medicare PaymentAmount | 15582.92 |
| Total Drug Medicare Standardized Payment Amount | 15582.92 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 143 |
| Number Of Medical Services | 5652 |
| Number Of Medicare Beneficiaries With Medical Services | 3884 |
| Total Medical Submitted Charge Amount | 3563951 |
| Total Medical Medicare Allowed Amount | 649628.57 |
| Total Medical Medicare Payment Amount | 504122.34 |
| Total Medical Medicare Standardized Payment Amount | 555049.1 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 640 |
| Number Of Beneficiaries Age 65 to 74 | 1443 |
| Number Of Beneficiaries Age 75 to 84 | 1177 |
| Number Of Beneficiaries Age Greater 84 | 624 |
| Number Of Female Beneficiaries | 2205 |
| Number Of Male Beneficiaries | 1679 |
| Number Of Non Hispanic White Beneficiaries | 2490 |
| Number Of Black or African American Beneficiaries | 142 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 1183 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3016 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 868 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 21 |
| Average HCC Risk Score Of Beneficiaries | 1.8269 |