| National Provider Identifier [NPI]: | 1568680080 |
| Last Name Of The Provider | POLEY |
| First Name Of The Provider | RAINER |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | M.D. |
| 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 | 256 |
| Number Of Services | 9779 |
| Number Of Medicare Beneficiaries | 4284 |
| Total Submitted Charge Amount | 1060513.22 |
| Total Medicare Allowed Amount | 241603.2 |
| Total Medicare Payment Amount | 183065.88 |
| Total Medicare Standardized Payment Amount | 187252.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 3660 |
| Number Of Medicare Beneficiaries With Drug Services | 58 |
| Total Drug Submitted ChargeAmount | 3055.6 |
| Total Drug Medicare AllowedAmount | 671.02 |
| Total Drug Medicare PaymentAmount | 503.1 |
| Total Drug Medicare Standardized Payment Amount | 503.1 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 255 |
| Number Of Medical Services | 6119 |
| Number Of Medicare Beneficiaries With Medical Services | 4284 |
| Total Medical Submitted Charge Amount | 1057457.62 |
| Total Medical Medicare Allowed Amount | 240932.18 |
| Total Medical Medicare Payment Amount | 182562.78 |
| Total Medical Medicare Standardized Payment Amount | 186749.21 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 775 |
| Number Of Beneficiaries Age 65 to 74 | 1596 |
| Number Of Beneficiaries Age 75 to 84 | 1256 |
| Number Of Beneficiaries Age Greater 84 | 657 |
| Number Of Female Beneficiaries | 2403 |
| Number Of Male Beneficiaries | 1881 |
| Number Of Non Hispanic White Beneficiaries | 3137 |
| Number Of Black or African American Beneficiaries | 384 |
| Number Of AsianPacific Islander Beneficiaries | 70 |
| Number Of Hispanic Beneficiaries | 635 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3260 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1024 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.0199 |