| National Provider Identifier [NPI]: | 1578557161 |
| Last Name Of The Provider | BEAUCHAMP |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3226 S ALAMEDA ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | CORPUS CHRISTI |
| Zip Code Of The Provider | 784042508 |
| 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 | 162 |
| Number Of Services | 26116 |
| Number Of Medicare Beneficiaries | 4469 |
| Total Submitted Charge Amount | 743124.6 |
| Total Medicare Allowed Amount | 283201.94 |
| Total Medicare Payment Amount | 207732.59 |
| Total Medicare Standardized Payment Amount | 226418.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 18838 |
| Number Of Medicare Beneficiaries With Drug Services | 182 |
| Total Drug Submitted ChargeAmount | 10504.05 |
| Total Drug Medicare AllowedAmount | 3917.77 |
| Total Drug Medicare PaymentAmount | 3017.18 |
| Total Drug Medicare Standardized Payment Amount | 3017.18 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 158 |
| Number Of Medical Services | 7278 |
| Number Of Medicare Beneficiaries With Medical Services | 4468 |
| Total Medical Submitted Charge Amount | 732620.55 |
| Total Medical Medicare Allowed Amount | 279284.17 |
| Total Medical Medicare Payment Amount | 204715.41 |
| Total Medical Medicare Standardized Payment Amount | 223401.34 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1010 |
| Number Of Beneficiaries Age 65 to 74 | 1532 |
| Number Of Beneficiaries Age 75 to 84 | 1237 |
| Number Of Beneficiaries Age Greater 84 | 690 |
| Number Of Female Beneficiaries | 2458 |
| Number Of Male Beneficiaries | 2011 |
| Number Of Non Hispanic White Beneficiaries | 2008 |
| Number Of Black or African American Beneficiaries | 144 |
| Number Of AsianPacific Islander Beneficiaries | 31 |
| Number Of Hispanic Beneficiaries | 2263 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2601 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1868 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 55 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.2954 |