| National Provider Identifier [NPI]: | 1154327336 |
| Last Name Of The Provider | ELVIN |
| First Name Of The Provider | PATRICK |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1521 S STAPLES ST |
| Street Address 2 Of The Provider | STE 301&304 |
| City Of The Provider | CORPUS CHRISTI |
| Zip Code Of The Provider | 784043150 |
| 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 | 209 |
| Number Of Services | 10003 |
| Number Of Medicare Beneficiaries | 3969 |
| Total Submitted Charge Amount | 625557.52 |
| Total Medicare Allowed Amount | 228885.12 |
| Total Medicare Payment Amount | 164344.09 |
| Total Medicare Standardized Payment Amount | 176909.83 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 3455 |
| Number Of Medicare Beneficiaries With Drug Services | 49 |
| Total Drug Submitted ChargeAmount | 2323.02 |
| Total Drug Medicare AllowedAmount | 920.27 |
| Total Drug Medicare PaymentAmount | 714.75 |
| Total Drug Medicare Standardized Payment Amount | 714.75 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 206 |
| Number Of Medical Services | 6548 |
| Number Of Medicare Beneficiaries With Medical Services | 3969 |
| Total Medical Submitted Charge Amount | 623234.5 |
| Total Medical Medicare Allowed Amount | 227964.85 |
| Total Medical Medicare Payment Amount | 163629.34 |
| Total Medical Medicare Standardized Payment Amount | 176195.08 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 675 |
| Number Of Beneficiaries Age 65 to 74 | 1563 |
| Number Of Beneficiaries Age 75 to 84 | 1130 |
| Number Of Beneficiaries Age Greater 84 | 601 |
| Number Of Female Beneficiaries | 2286 |
| Number Of Male Beneficiaries | 1683 |
| Number Of Non Hispanic White Beneficiaries | 2439 |
| Number Of Black or African American Beneficiaries | 83 |
| Number Of AsianPacific Islander Beneficiaries | 28 |
| Number Of Hispanic Beneficiaries | 1397 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2964 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1005 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.7075 |