| National Provider Identifier [NPI]: | 1396721155 |
| Last Name Of The Provider | ARBONA |
| First Name Of The Provider | JOSE |
| Middle Initial Of The Provider | L |
| 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 STE 600 |
| Street Address 2 Of The Provider | |
| City Of The Provider | SAN ANTONIO |
| Zip Code Of The Provider | 782295907 |
| 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 | 205 |
| Number Of Services | 13593 |
| Number Of Medicare Beneficiaries | 4787 |
| Total Submitted Charge Amount | 1169876.62 |
| Total Medicare Allowed Amount | 302615.33 |
| Total Medicare Payment Amount | 236670.97 |
| Total Medicare Standardized Payment Amount | 255287.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 6195 |
| Number Of Medicare Beneficiaries With Drug Services | 84 |
| Total Drug Submitted ChargeAmount | 4587 |
| Total Drug Medicare AllowedAmount | 1907.42 |
| Total Drug Medicare PaymentAmount | 1410.9 |
| Total Drug Medicare Standardized Payment Amount | 1410.9 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 202 |
| Number Of Medical Services | 7398 |
| Number Of Medicare Beneficiaries With Medical Services | 4787 |
| Total Medical Submitted Charge Amount | 1165289.62 |
| Total Medical Medicare Allowed Amount | 300707.91 |
| Total Medical Medicare Payment Amount | 235260.07 |
| Total Medical Medicare Standardized Payment Amount | 253877.06 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 847 |
| Number Of Beneficiaries Age 65 to 74 | 1756 |
| Number Of Beneficiaries Age 75 to 84 | 1352 |
| Number Of Beneficiaries Age Greater 84 | 832 |
| Number Of Female Beneficiaries | 2864 |
| Number Of Male Beneficiaries | 1923 |
| Number Of Non Hispanic White Beneficiaries | 2962 |
| Number Of Black or African American Beneficiaries | 183 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 1569 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3636 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1151 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8442 |