| National Provider Identifier [NPI]: | 1831179852 |
| Last Name Of The Provider | GLOYNA |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 815 PENNSYLVANIA AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | FORT WORTH |
| Zip Code Of The Provider | 761042224 |
| 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 | 171 |
| Number Of Services | 7631 |
| Number Of Medicare Beneficiaries | 3221 |
| Total Submitted Charge Amount | 596316.4 |
| Total Medicare Allowed Amount | 141997.58 |
| Total Medicare Payment Amount | 97828.75 |
| Total Medicare Standardized Payment Amount | 100945.05 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2800 |
| Number Of Medicare Beneficiaries With Drug Services | 41 |
| Total Drug Submitted ChargeAmount | 3300 |
| Total Drug Medicare AllowedAmount | 933.92 |
| Total Drug Medicare PaymentAmount | 732.11 |
| Total Drug Medicare Standardized Payment Amount | 732.11 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 169 |
| Number Of Medical Services | 4831 |
| Number Of Medicare Beneficiaries With Medical Services | 3221 |
| Total Medical Submitted Charge Amount | 593016.4 |
| Total Medical Medicare Allowed Amount | 141063.66 |
| Total Medical Medicare Payment Amount | 97096.64 |
| Total Medical Medicare Standardized Payment Amount | 100212.94 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 570 |
| Number Of Beneficiaries Age 65 to 74 | 1058 |
| Number Of Beneficiaries Age 75 to 84 | 982 |
| Number Of Beneficiaries Age Greater 84 | 611 |
| Number Of Female Beneficiaries | 1923 |
| Number Of Male Beneficiaries | 1298 |
| Number Of Non Hispanic White Beneficiaries | 2486 |
| Number Of Black or African American Beneficiaries | 396 |
| Number Of AsianPacific Islander Beneficiaries | 54 |
| Number Of Hispanic Beneficiaries | 247 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2333 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 888 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 30 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 48 |
| Percent Of With Chronic Kidney Disease | 51 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 42 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 2.3136 |