| National Provider Identifier [NPI]: | 1881675585 |
| Last Name Of The Provider | ALLEN |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 21214 NORTHWEST FWY |
| Street Address 2 Of The Provider | SUITE 220 |
| City Of The Provider | CYPRESS |
| Zip Code Of The Provider | 774293373 |
| 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 | 141 |
| Number Of Services | 4995 |
| Number Of Medicare Beneficiaries | 3146 |
| Total Submitted Charge Amount | 699828.49 |
| Total Medicare Allowed Amount | 144348.43 |
| Total Medicare Payment Amount | 105435.66 |
| Total Medicare Standardized Payment Amount | 106713.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 141 |
| Number Of Medical Services | 4995 |
| Number Of Medicare Beneficiaries With Medical Services | 3146 |
| Total Medical Submitted Charge Amount | 699828.49 |
| Total Medical Medicare Allowed Amount | 144348.43 |
| Total Medical Medicare Payment Amount | 105435.66 |
| Total Medical Medicare Standardized Payment Amount | 106713.75 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 685 |
| Number Of Beneficiaries Age 65 to 74 | 975 |
| Number Of Beneficiaries Age 75 to 84 | 845 |
| Number Of Beneficiaries Age Greater 84 | 641 |
| Number Of Female Beneficiaries | 1875 |
| Number Of Male Beneficiaries | 1271 |
| Number Of Non Hispanic White Beneficiaries | 1724 |
| Number Of Black or African American Beneficiaries | 765 |
| Number Of AsianPacific Islander Beneficiaries | 150 |
| Number Of Hispanic Beneficiaries | 473 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1925 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1221 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 36 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 52 |
| Percent Of With Chronic Kidney Disease | 49 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 54 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 15 |
| Percent Of With Stroke | 19 |
| Average HCC Risk Score Of Beneficiaries | 2.5459 |