| National Provider Identifier [NPI]: | 1134104847 |
| Last Name Of The Provider | TUCKER |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4316 JAMES CASEY ST |
| Street Address 2 Of The Provider | BUILDING C |
| City Of The Provider | AUSTIN |
| Zip Code Of The Provider | 787451157 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 126 |
| Number Of Services | 10354 |
| Number Of Medicare Beneficiaries | 1766 |
| Total Submitted Charge Amount | 1509261.08 |
| Total Medicare Allowed Amount | 592928.68 |
| Total Medicare Payment Amount | 436410.94 |
| Total Medicare Standardized Payment Amount | 445662.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 2450 |
| Number Of Medicare Beneficiaries With Drug Services | 24 |
| Total Drug Submitted ChargeAmount | 2450 |
| Total Drug Medicare AllowedAmount | 457.45 |
| Total Drug Medicare PaymentAmount | 358.62 |
| Total Drug Medicare Standardized Payment Amount | 358.62 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 125 |
| Number Of Medical Services | 7904 |
| Number Of Medicare Beneficiaries With Medical Services | 1766 |
| Total Medical Submitted Charge Amount | 1506811.08 |
| Total Medical Medicare Allowed Amount | 592471.23 |
| Total Medical Medicare Payment Amount | 436052.32 |
| Total Medical Medicare Standardized Payment Amount | 445303.76 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 161 |
| Number Of Beneficiaries Age 65 to 74 | 713 |
| Number Of Beneficiaries Age 75 to 84 | 588 |
| Number Of Beneficiaries Age Greater 84 | 304 |
| Number Of Female Beneficiaries | 843 |
| Number Of Male Beneficiaries | 923 |
| Number Of Non Hispanic White Beneficiaries | 1451 |
| Number Of Black or African American Beneficiaries | 80 |
| Number Of AsianPacific Islander Beneficiaries | 14 |
| Number Of Hispanic Beneficiaries | 207 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1548 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 218 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5497 |