| National Provider Identifier [NPI]: | 1689781668 |
| Last Name Of The Provider | DALRYMPLE |
| First Name Of The Provider | NEAL |
| Middle Initial Of The Provider | C |
| 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 | 179 |
| Number Of Services | 6886 |
| Number Of Medicare Beneficiaries | 3801 |
| Total Submitted Charge Amount | 709971 |
| Total Medicare Allowed Amount | 186226.57 |
| Total Medicare Payment Amount | 144405.45 |
| Total Medicare Standardized Payment Amount | 152105.07 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 995 |
| Number Of Medicare Beneficiaries With Drug Services | 13 |
| Total Drug Submitted ChargeAmount | 655 |
| Total Drug Medicare AllowedAmount | 251.54 |
| Total Drug Medicare PaymentAmount | 197.21 |
| Total Drug Medicare Standardized Payment Amount | 197.21 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 177 |
| Number Of Medical Services | 5891 |
| Number Of Medicare Beneficiaries With Medical Services | 3801 |
| Total Medical Submitted Charge Amount | 709316 |
| Total Medical Medicare Allowed Amount | 185975.03 |
| Total Medical Medicare Payment Amount | 144208.24 |
| Total Medical Medicare Standardized Payment Amount | 151907.86 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 621 |
| Number Of Beneficiaries Age 65 to 74 | 1335 |
| Number Of Beneficiaries Age 75 to 84 | 1139 |
| Number Of Beneficiaries Age Greater 84 | 706 |
| Number Of Female Beneficiaries | 2071 |
| Number Of Male Beneficiaries | 1730 |
| Number Of Non Hispanic White Beneficiaries | 2331 |
| Number Of Black or African American Beneficiaries | 126 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 1279 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2817 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 984 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 50 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.1176 |