| National Provider Identifier [NPI]: | 1962495093 |
| Last Name Of The Provider | ROBERTS |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2224 NW 50TH ST |
| Street Address 2 Of The Provider | SUITE 276W |
| City Of The Provider | OKLAHOMA CITY |
| Zip Code Of The Provider | 731128046 |
| 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 | 172 |
| Number Of Services | 5917 |
| Number Of Medicare Beneficiaries | 3873 |
| Total Submitted Charge Amount | 498242 |
| Total Medicare Allowed Amount | 133949.23 |
| Total Medicare Payment Amount | 105168.19 |
| Total Medicare Standardized Payment Amount | 111951.87 |
| 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 | 172 |
| Number Of Medical Services | 5917 |
| Number Of Medicare Beneficiaries With Medical Services | 3873 |
| Total Medical Submitted Charge Amount | 498242 |
| Total Medical Medicare Allowed Amount | 133949.23 |
| Total Medical Medicare Payment Amount | 105168.19 |
| Total Medical Medicare Standardized Payment Amount | 111951.87 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 842 |
| Number Of Beneficiaries Age 65 to 74 | 1518 |
| Number Of Beneficiaries Age 75 to 84 | 1022 |
| Number Of Beneficiaries Age Greater 84 | 491 |
| Number Of Female Beneficiaries | 2543 |
| Number Of Male Beneficiaries | 1330 |
| Number Of Non Hispanic White Beneficiaries | 3061 |
| Number Of Black or African American Beneficiaries | 434 |
| Number Of AsianPacific Islander Beneficiaries | 38 |
| Number Of Hispanic Beneficiaries | 85 |
| Number Of American Indian Alaska Native Beneficiaries | 214 |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2783 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1090 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.528 |