| National Provider Identifier [NPI]: | 1265625347 |
| Last Name Of The Provider | CROSS |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8282 S MEMORIAL DR |
| Street Address 2 Of The Provider | SUITE 106 |
| City Of The Provider | TULSA |
| Zip Code Of The Provider | 741334351 |
| 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 | 210 |
| Number Of Services | 7151 |
| Number Of Medicare Beneficiaries | 4041 |
| Total Submitted Charge Amount | 817824 |
| Total Medicare Allowed Amount | 215117.17 |
| Total Medicare Payment Amount | 168430.97 |
| Total Medicare Standardized Payment Amount | 178447.26 |
| 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 | 210 |
| Number Of Medical Services | 7151 |
| Number Of Medicare Beneficiaries With Medical Services | 4041 |
| Total Medical Submitted Charge Amount | 817824 |
| Total Medical Medicare Allowed Amount | 215117.17 |
| Total Medical Medicare Payment Amount | 168430.97 |
| Total Medical Medicare Standardized Payment Amount | 178447.26 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 997 |
| Number Of Beneficiaries Age 65 to 74 | 1561 |
| Number Of Beneficiaries Age 75 to 84 | 1041 |
| Number Of Beneficiaries Age Greater 84 | 442 |
| Number Of Female Beneficiaries | 2406 |
| Number Of Male Beneficiaries | 1635 |
| Number Of Non Hispanic White Beneficiaries | 3063 |
| Number Of Black or African American Beneficiaries | 344 |
| Number Of AsianPacific Islander Beneficiaries | 17 |
| Number Of Hispanic Beneficiaries | 64 |
| Number Of American Indian Alaska Native Beneficiaries | 532 |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2694 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1347 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5695 |