| National Provider Identifier [NPI]: | 1548250236 |
| Last Name Of The Provider | SHEETS |
| First Name Of The Provider | JESSICA |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12951 SOUTH FWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | HOUSTON |
| Zip Code Of The Provider | 770471923 |
| 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 | 124 |
| Number Of Services | 7509 |
| Number Of Medicare Beneficiaries | 5301 |
| Total Submitted Charge Amount | 971986 |
| Total Medicare Allowed Amount | 173435.15 |
| Total Medicare Payment Amount | 132215.91 |
| Total Medicare Standardized Payment Amount | 133531.43 |
| 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 | 124 |
| Number Of Medical Services | 7509 |
| Number Of Medicare Beneficiaries With Medical Services | 5301 |
| Total Medical Submitted Charge Amount | 971986 |
| Total Medical Medicare Allowed Amount | 173435.15 |
| Total Medical Medicare Payment Amount | 132215.91 |
| Total Medical Medicare Standardized Payment Amount | 133531.43 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 935 |
| Number Of Beneficiaries Age 65 to 74 | 1841 |
| Number Of Beneficiaries Age 75 to 84 | 1578 |
| Number Of Beneficiaries Age Greater 84 | 947 |
| Number Of Female Beneficiaries | 2954 |
| Number Of Male Beneficiaries | 2347 |
| Number Of Non Hispanic White Beneficiaries | 3383 |
| Number Of Black or African American Beneficiaries | 1059 |
| Number Of AsianPacific Islander Beneficiaries | 216 |
| Number Of Hispanic Beneficiaries | 575 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4065 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1236 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 51 |
| Percent Of With Chronic Kidney Disease | 57 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 51 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 2.7212 |