| National Provider Identifier [NPI]: | 1134100019 |
| Last Name Of The Provider | NITKE |
| First Name Of The Provider | STEVEN |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 401 CYPRESS ST |
| Street Address 2 Of The Provider | # 110 |
| City Of The Provider | ABILENE |
| Zip Code Of The Provider | 796015122 |
| 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 | 222 |
| Number Of Services | 9678 |
| Number Of Medicare Beneficiaries | 5693 |
| Total Submitted Charge Amount | 940934 |
| Total Medicare Allowed Amount | 253330.13 |
| Total Medicare Payment Amount | 192870.78 |
| Total Medicare Standardized Payment Amount | 200840.96 |
| 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 | 222 |
| Number Of Medical Services | 9678 |
| Number Of Medicare Beneficiaries With Medical Services | 5693 |
| Total Medical Submitted Charge Amount | 940934 |
| Total Medical Medicare Allowed Amount | 253330.13 |
| Total Medical Medicare Payment Amount | 192870.78 |
| Total Medical Medicare Standardized Payment Amount | 200840.96 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 901 |
| Number Of Beneficiaries Age 65 to 74 | 2204 |
| Number Of Beneficiaries Age 75 to 84 | 1801 |
| Number Of Beneficiaries Age Greater 84 | 787 |
| Number Of Female Beneficiaries | 3656 |
| Number Of Male Beneficiaries | 2037 |
| Number Of Non Hispanic White Beneficiaries | 4722 |
| Number Of Black or African American Beneficiaries | 252 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 661 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4101 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1592 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5142 |