| National Provider Identifier [NPI]: | 1043297260 |
| Last Name Of The Provider | NIEHUS |
| First Name Of The Provider | JOE |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5016 S US HIGHWAY 75 |
| Street Address 2 Of The Provider | RADIOLOGY DEPARTMENT |
| City Of The Provider | DENISON |
| Zip Code Of The Provider | 750204584 |
| 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 | 223 |
| Number Of Services | 11131 |
| Number Of Medicare Beneficiaries | 5871 |
| Total Submitted Charge Amount | 1199662 |
| Total Medicare Allowed Amount | 317247.81 |
| Total Medicare Payment Amount | 244441.42 |
| Total Medicare Standardized Payment Amount | 258243.98 |
| 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 | 223 |
| Number Of Medical Services | 11131 |
| Number Of Medicare Beneficiaries With Medical Services | 5871 |
| Total Medical Submitted Charge Amount | 1199662 |
| Total Medical Medicare Allowed Amount | 317247.81 |
| Total Medical Medicare Payment Amount | 244441.42 |
| Total Medical Medicare Standardized Payment Amount | 258243.98 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1112 |
| Number Of Beneficiaries Age 65 to 74 | 2207 |
| Number Of Beneficiaries Age 75 to 84 | 1671 |
| Number Of Beneficiaries Age Greater 84 | 881 |
| Number Of Female Beneficiaries | 3610 |
| Number Of Male Beneficiaries | 2261 |
| Number Of Non Hispanic White Beneficiaries | 5257 |
| Number Of Black or African American Beneficiaries | 196 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 99 |
| Number Of American Indian Alaska Native Beneficiaries | 272 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4151 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1720 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.7755 |