| National Provider Identifier [NPI]: | 1962403501 |
| Last Name Of The Provider | HILL |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5508 SUMMERHILL RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | TEXARKANA |
| Zip Code Of The Provider | 755031822 |
| 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 | 139 |
| Number Of Services | 46718 |
| Number Of Medicare Beneficiaries | 3452 |
| Total Submitted Charge Amount | 2680762.2 |
| Total Medicare Allowed Amount | 512468.94 |
| Total Medicare Payment Amount | 380622.06 |
| Total Medicare Standardized Payment Amount | 416543.01 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 40917 |
| Number Of Medicare Beneficiaries With Drug Services | 491 |
| Total Drug Submitted ChargeAmount | 53017 |
| Total Drug Medicare AllowedAmount | 11301.31 |
| Total Drug Medicare PaymentAmount | 8807.21 |
| Total Drug Medicare Standardized Payment Amount | 8807.21 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 137 |
| Number Of Medical Services | 5801 |
| Number Of Medicare Beneficiaries With Medical Services | 3452 |
| Total Medical Submitted Charge Amount | 2627745.2 |
| Total Medical Medicare Allowed Amount | 501167.63 |
| Total Medical Medicare Payment Amount | 371814.85 |
| Total Medical Medicare Standardized Payment Amount | 407735.8 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 734 |
| Number Of Beneficiaries Age 65 to 74 | 1373 |
| Number Of Beneficiaries Age 75 to 84 | 990 |
| Number Of Beneficiaries Age Greater 84 | 355 |
| Number Of Female Beneficiaries | 1937 |
| Number Of Male Beneficiaries | 1515 |
| Number Of Non Hispanic White Beneficiaries | 2810 |
| Number Of Black or African American Beneficiaries | 567 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 37 |
| Number Of American Indian Alaska Native Beneficiaries | 17 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2509 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 943 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5029 |