| National Provider Identifier [NPI]: | 1821215005 |
| Last Name Of The Provider | EVANS |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3330 NW 56TH ST |
| Street Address 2 Of The Provider | SUITE 206 |
| City Of The Provider | OKLAHOMA CITY |
| Zip Code Of The Provider | 731124426 |
| State Code Of The Provider | OK |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 212 |
| Number Of Services | 21887 |
| Number Of Medicare Beneficiaries | 5610 |
| Total Submitted Charge Amount | 380585.12 |
| Total Medicare Allowed Amount | 354570.98 |
| Total Medicare Payment Amount | 267504.31 |
| Total Medicare Standardized Payment Amount | 292499.59 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 12935 |
| Number Of Medicare Beneficiaries With Drug Services | 150 |
| Total Drug Submitted ChargeAmount | 2766.9 |
| Total Drug Medicare AllowedAmount | 2099.42 |
| Total Drug Medicare PaymentAmount | 1538.77 |
| Total Drug Medicare Standardized Payment Amount | 1538.77 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 208 |
| Number Of Medical Services | 8952 |
| Number Of Medicare Beneficiaries With Medical Services | 5610 |
| Total Medical Submitted Charge Amount | 377818.22 |
| Total Medical Medicare Allowed Amount | 352471.56 |
| Total Medical Medicare Payment Amount | 265965.54 |
| Total Medical Medicare Standardized Payment Amount | 290960.82 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 994 |
| Number Of Beneficiaries Age 65 to 74 | 2151 |
| Number Of Beneficiaries Age 75 to 84 | 1701 |
| Number Of Beneficiaries Age Greater 84 | 764 |
| Number Of Female Beneficiaries | 3283 |
| Number Of Male Beneficiaries | 2327 |
| Number Of Non Hispanic White Beneficiaries | 4703 |
| Number Of Black or African American Beneficiaries | 442 |
| Number Of AsianPacific Islander Beneficiaries | 71 |
| Number Of Hispanic Beneficiaries | 115 |
| Number Of American Indian Alaska Native Beneficiaries | 235 |
| Number Of Beneficiaries With Race Not Else where Classified | 44 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4521 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1089 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.8937 |