| National Provider Identifier [NPI]: | 1841294790 |
| Last Name Of The Provider | BEN-AVI |
| First Name Of The Provider | HILLEL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12554 RIATA VISTA CIR |
| Street Address 2 Of The Provider | |
| City Of The Provider | AUSTIN |
| Zip Code Of The Provider | 787276431 |
| 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 | 236 |
| Number Of Services | 10056 |
| Number Of Medicare Beneficiaries | 4784 |
| Total Submitted Charge Amount | 879890 |
| Total Medicare Allowed Amount | 250614.33 |
| Total Medicare Payment Amount | 196369.46 |
| Total Medicare Standardized Payment Amount | 204103.72 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1470 |
| Number Of Medicare Beneficiaries With Drug Services | 19 |
| Total Drug Submitted ChargeAmount | 1098 |
| Total Drug Medicare AllowedAmount | 297.72 |
| Total Drug Medicare PaymentAmount | 232.58 |
| Total Drug Medicare Standardized Payment Amount | 232.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 233 |
| Number Of Medical Services | 8586 |
| Number Of Medicare Beneficiaries With Medical Services | 4784 |
| Total Medical Submitted Charge Amount | 878792 |
| Total Medical Medicare Allowed Amount | 250316.61 |
| Total Medical Medicare Payment Amount | 196136.88 |
| Total Medical Medicare Standardized Payment Amount | 203871.14 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 687 |
| Number Of Beneficiaries Age 65 to 74 | 1863 |
| Number Of Beneficiaries Age 75 to 84 | 1495 |
| Number Of Beneficiaries Age Greater 84 | 739 |
| Number Of Female Beneficiaries | 2865 |
| Number Of Male Beneficiaries | 1919 |
| Number Of Non Hispanic White Beneficiaries | 3876 |
| Number Of Black or African American Beneficiaries | 273 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 553 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3854 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 930 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7016 |