| National Provider Identifier [NPI]: | 1952587750 |
| Last Name Of The Provider | HANKS |
| First Name Of The Provider | TYRONE |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2927 N 7TH AVE |
| Street Address 2 Of The Provider | PEPPERTREE - FAMILY MEDICINE #3 |
| City Of The Provider | PHOENIX |
| Zip Code Of The Provider | 850134102 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | General Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 105 |
| Number Of Services | 9060 |
| Number Of Medicare Beneficiaries | 2536 |
| Total Submitted Charge Amount | 839429 |
| Total Medicare Allowed Amount | 425082.39 |
| Total Medicare Payment Amount | 290584.32 |
| Total Medicare Standardized Payment Amount | 288150.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 15 |
| Number Of Drug Services | 2981 |
| Number Of Medicare Beneficiaries With Drug Services | 598 |
| Total Drug Submitted ChargeAmount | 102493 |
| Total Drug Medicare AllowedAmount | 3261.57 |
| Total Drug Medicare PaymentAmount | 2443.73 |
| Total Drug Medicare Standardized Payment Amount | 2443.73 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 90 |
| Number Of Medical Services | 6079 |
| Number Of Medicare Beneficiaries With Medical Services | 2535 |
| Total Medical Submitted Charge Amount | 736936 |
| Total Medical Medicare Allowed Amount | 421820.82 |
| Total Medical Medicare Payment Amount | 288140.59 |
| Total Medical Medicare Standardized Payment Amount | 285706.89 |
| Average Age Of Beneficiaries | 67 |
| Number Of Beneficiaries Age Less65 | 622 |
| Number Of Beneficiaries Age 65 to 74 | 1201 |
| Number Of Beneficiaries Age 75 to 84 | 535 |
| Number Of Beneficiaries Age Greater 84 | 178 |
| Number Of Female Beneficiaries | 1559 |
| Number Of Male Beneficiaries | 977 |
| Number Of Non Hispanic White Beneficiaries | 1784 |
| Number Of Black or African American Beneficiaries | 382 |
| Number Of AsianPacific Islander Beneficiaries | 93 |
| Number Of Hispanic Beneficiaries | 214 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 50 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2010 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 526 |
| Percent Of With Atrial Fibrillation | 7 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 63 |
| Percent Of With Ischemic Heart Disease | 28 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0484 |