| National Provider Identifier [NPI]: | 1568644581 |
| Last Name Of The Provider | BURNS |
| First Name Of The Provider | STEPHANIE |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8401 DATAPOINT DR STE 600 |
| Street Address 2 Of The Provider | |
| City Of The Provider | SAN ANTONIO |
| Zip Code Of The Provider | 782295907 |
| 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 | 157 |
| Number Of Services | 53094 |
| Number Of Medicare Beneficiaries | 3596 |
| Total Submitted Charge Amount | 2331397.18 |
| Total Medicare Allowed Amount | 651085.18 |
| Total Medicare Payment Amount | 521487.56 |
| Total Medicare Standardized Payment Amount | 566228.23 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 47481 |
| Number Of Medicare Beneficiaries With Drug Services | 543 |
| Total Drug Submitted ChargeAmount | 32878 |
| Total Drug Medicare AllowedAmount | 13804.98 |
| Total Drug Medicare PaymentAmount | 10653.81 |
| Total Drug Medicare Standardized Payment Amount | 10653.81 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 154 |
| Number Of Medical Services | 5613 |
| Number Of Medicare Beneficiaries With Medical Services | 3596 |
| Total Medical Submitted Charge Amount | 2298519.18 |
| Total Medical Medicare Allowed Amount | 637280.2 |
| Total Medical Medicare Payment Amount | 510833.75 |
| Total Medical Medicare Standardized Payment Amount | 555574.42 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 379 |
| Number Of Beneficiaries Age 65 to 74 | 1824 |
| Number Of Beneficiaries Age 75 to 84 | 1064 |
| Number Of Beneficiaries Age Greater 84 | 329 |
| Number Of Female Beneficiaries | 2498 |
| Number Of Male Beneficiaries | 1098 |
| Number Of Non Hispanic White Beneficiaries | 2531 |
| Number Of Black or African American Beneficiaries | 212 |
| Number Of AsianPacific Islander Beneficiaries | 41 |
| Number Of Hispanic Beneficiaries | 766 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3251 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 345 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.2702 |