| National Provider Identifier [NPI]: | 1033157672 |
| Last Name Of The Provider | BECKER |
| First Name Of The Provider | ROBERT |
| 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 | 620 CROSSOVER ROAD |
| Street Address 2 Of The Provider | |
| City Of The Provider | TUPELO |
| Zip Code Of The Provider | 388014944 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 193 |
| Number Of Services | 12971 |
| Number Of Medicare Beneficiaries | 3437 |
| Total Submitted Charge Amount | 1783589.88 |
| Total Medicare Allowed Amount | 379081.32 |
| Total Medicare Payment Amount | 284918.4 |
| Total Medicare Standardized Payment Amount | 315244.34 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 8204 |
| Number Of Medicare Beneficiaries With Drug Services | 154 |
| Total Drug Submitted ChargeAmount | 14216.1 |
| Total Drug Medicare AllowedAmount | 4042.55 |
| Total Drug Medicare PaymentAmount | 3169.44 |
| Total Drug Medicare Standardized Payment Amount | 3169.44 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 190 |
| Number Of Medical Services | 4767 |
| Number Of Medicare Beneficiaries With Medical Services | 3437 |
| Total Medical Submitted Charge Amount | 1769373.78 |
| Total Medical Medicare Allowed Amount | 375038.77 |
| Total Medical Medicare Payment Amount | 281748.96 |
| Total Medical Medicare Standardized Payment Amount | 312074.9 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 851 |
| Number Of Beneficiaries Age 65 to 74 | 1279 |
| Number Of Beneficiaries Age 75 to 84 | 968 |
| Number Of Beneficiaries Age Greater 84 | 339 |
| Number Of Female Beneficiaries | 1960 |
| Number Of Male Beneficiaries | 1477 |
| Number Of Non Hispanic White Beneficiaries | 2835 |
| Number Of Black or African American Beneficiaries | 572 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 15 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2142 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1295 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.4537 |