| National Provider Identifier [NPI]: | 1225005168 |
| Last Name Of The Provider | CROW |
| First Name Of The Provider | KEITH |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8401 DATAPOINT DR |
| Street Address 2 Of The Provider | SUITE 600 |
| City Of The Provider | SAN ANTONIO |
| Zip Code Of The Provider | 782295900 |
| 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 | 241 |
| Number Of Services | 12869 |
| Number Of Medicare Beneficiaries | 4565 |
| Total Submitted Charge Amount | 2070764.2 |
| Total Medicare Allowed Amount | 451327.01 |
| Total Medicare Payment Amount | 350176.36 |
| Total Medicare Standardized Payment Amount | 382344.3 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 6141 |
| Number Of Medicare Beneficiaries With Drug Services | 129 |
| Total Drug Submitted ChargeAmount | 7725.5 |
| Total Drug Medicare AllowedAmount | 3600.92 |
| Total Drug Medicare PaymentAmount | 2777.26 |
| Total Drug Medicare Standardized Payment Amount | 2777.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 237 |
| Number Of Medical Services | 6728 |
| Number Of Medicare Beneficiaries With Medical Services | 4565 |
| Total Medical Submitted Charge Amount | 2063038.7 |
| Total Medical Medicare Allowed Amount | 447726.09 |
| Total Medical Medicare Payment Amount | 347399.1 |
| Total Medical Medicare Standardized Payment Amount | 379567.04 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 798 |
| Number Of Beneficiaries Age 65 to 74 | 1828 |
| Number Of Beneficiaries Age 75 to 84 | 1271 |
| Number Of Beneficiaries Age Greater 84 | 668 |
| Number Of Female Beneficiaries | 2668 |
| Number Of Male Beneficiaries | 1897 |
| Number Of Non Hispanic White Beneficiaries | 2898 |
| Number Of Black or African American Beneficiaries | 215 |
| Number Of AsianPacific Islander Beneficiaries | 47 |
| Number Of Hispanic Beneficiaries | 1351 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3621 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 944 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.9669 |