| National Provider Identifier [NPI]: | 1265436893 |
| Last Name Of The Provider | MANNING |
| First Name Of The Provider | JOHN |
| 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 | 261 |
| Number Of Services | 13822 |
| Number Of Medicare Beneficiaries | 3457 |
| Total Submitted Charge Amount | 961961.76 |
| Total Medicare Allowed Amount | 232254.31 |
| Total Medicare Payment Amount | 175918.14 |
| Total Medicare Standardized Payment Amount | 181186.73 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 8650 |
| Number Of Medicare Beneficiaries With Drug Services | 107 |
| Total Drug Submitted ChargeAmount | 9187.26 |
| Total Drug Medicare AllowedAmount | 2337.6 |
| Total Drug Medicare PaymentAmount | 1738.82 |
| Total Drug Medicare Standardized Payment Amount | 1738.82 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 254 |
| Number Of Medical Services | 5172 |
| Number Of Medicare Beneficiaries With Medical Services | 3456 |
| Total Medical Submitted Charge Amount | 952774.5 |
| Total Medical Medicare Allowed Amount | 229916.71 |
| Total Medical Medicare Payment Amount | 174179.32 |
| Total Medical Medicare Standardized Payment Amount | 179447.91 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 661 |
| Number Of Beneficiaries Age 65 to 74 | 1230 |
| Number Of Beneficiaries Age 75 to 84 | 998 |
| Number Of Beneficiaries Age Greater 84 | 568 |
| Number Of Female Beneficiaries | 1902 |
| Number Of Male Beneficiaries | 1555 |
| Number Of Non Hispanic White Beneficiaries | 2486 |
| Number Of Black or African American Beneficiaries | 378 |
| Number Of AsianPacific Islander Beneficiaries | 57 |
| Number Of Hispanic Beneficiaries | 498 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2577 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 880 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.0582 |