| National Provider Identifier [NPI]: | 1962467696 |
| Last Name Of The Provider | NOVICK |
| First Name Of The Provider | STEVEN |
| 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 | 3015 NE LOOP 286 |
| Street Address 2 Of The Provider | |
| City Of The Provider | PARIS |
| Zip Code Of The Provider | 754603433 |
| 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 | 214 |
| Number Of Services | 18615 |
| Number Of Medicare Beneficiaries | 5377 |
| Total Submitted Charge Amount | 1950251.87 |
| Total Medicare Allowed Amount | 402518.43 |
| Total Medicare Payment Amount | 300576.66 |
| Total Medicare Standardized Payment Amount | 318700.5 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 7917 |
| Number Of Medicare Beneficiaries With Drug Services | 119 |
| Total Drug Submitted ChargeAmount | 4976.9 |
| Total Drug Medicare AllowedAmount | 2648.89 |
| Total Drug Medicare PaymentAmount | 2076.94 |
| Total Drug Medicare Standardized Payment Amount | 2076.94 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 211 |
| Number Of Medical Services | 10698 |
| Number Of Medicare Beneficiaries With Medical Services | 5377 |
| Total Medical Submitted Charge Amount | 1945274.97 |
| Total Medical Medicare Allowed Amount | 399869.54 |
| Total Medical Medicare Payment Amount | 298499.72 |
| Total Medical Medicare Standardized Payment Amount | 316623.56 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 945 |
| Number Of Beneficiaries Age 65 to 74 | 2159 |
| Number Of Beneficiaries Age 75 to 84 | 1583 |
| Number Of Beneficiaries Age Greater 84 | 690 |
| Number Of Female Beneficiaries | 3418 |
| Number Of Male Beneficiaries | 1959 |
| Number Of Non Hispanic White Beneficiaries | 4539 |
| Number Of Black or African American Beneficiaries | 587 |
| Number Of AsianPacific Islander Beneficiaries | 20 |
| Number Of Hispanic Beneficiaries | 166 |
| Number Of American Indian Alaska Native Beneficiaries | 40 |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3851 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1526 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.4664 |