| National Provider Identifier [NPI]: | 1417947177 |
| Last Name Of The Provider | HEDRICK |
| First Name Of The Provider | THOMAS |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12951 SOUTH FWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | HOUSTON |
| Zip Code Of The Provider | 770471923 |
| 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 | 147 |
| Number Of Services | 7382 |
| Number Of Medicare Beneficiaries | 5046 |
| Total Submitted Charge Amount | 934012 |
| Total Medicare Allowed Amount | 172272.41 |
| Total Medicare Payment Amount | 132424.41 |
| Total Medicare Standardized Payment Amount | 133180.69 |
| 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 | 147 |
| Number Of Medical Services | 7382 |
| Number Of Medicare Beneficiaries With Medical Services | 5046 |
| Total Medical Submitted Charge Amount | 934012 |
| Total Medical Medicare Allowed Amount | 172272.41 |
| Total Medical Medicare Payment Amount | 132424.41 |
| Total Medical Medicare Standardized Payment Amount | 133180.69 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 915 |
| Number Of Beneficiaries Age 65 to 74 | 1804 |
| Number Of Beneficiaries Age 75 to 84 | 1440 |
| Number Of Beneficiaries Age Greater 84 | 887 |
| Number Of Female Beneficiaries | 2758 |
| Number Of Male Beneficiaries | 2288 |
| Number Of Non Hispanic White Beneficiaries | 3299 |
| Number Of Black or African American Beneficiaries | 981 |
| Number Of AsianPacific Islander Beneficiaries | 180 |
| Number Of Hispanic Beneficiaries | 529 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4029 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1017 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 49 |
| Percent Of With Chronic Kidney Disease | 55 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 64 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 2.682 |