| National Provider Identifier [NPI]: | 1366424814 |
| Last Name Of The Provider | PALLARES |
| First Name Of The Provider | XAVIER |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5501 S MCCOLL RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | EDINBURG |
| Zip Code Of The Provider | 785399152 |
| 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 | 245 |
| Number Of Services | 6918 |
| Number Of Medicare Beneficiaries | 4521 |
| Total Submitted Charge Amount | 1005909.69 |
| Total Medicare Allowed Amount | 270519.95 |
| Total Medicare Payment Amount | 208182.91 |
| Total Medicare Standardized Payment Amount | 216890 |
| 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 | 245 |
| Number Of Medical Services | 6918 |
| Number Of Medicare Beneficiaries With Medical Services | 4521 |
| Total Medical Submitted Charge Amount | 1005909.69 |
| Total Medical Medicare Allowed Amount | 270519.95 |
| Total Medical Medicare Payment Amount | 208182.91 |
| Total Medical Medicare Standardized Payment Amount | 216890 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 772 |
| Number Of Beneficiaries Age 65 to 74 | 1809 |
| Number Of Beneficiaries Age 75 to 84 | 1399 |
| Number Of Beneficiaries Age Greater 84 | 541 |
| Number Of Female Beneficiaries | 2859 |
| Number Of Male Beneficiaries | 1662 |
| Number Of Non Hispanic White Beneficiaries | 926 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 24 |
| Number Of Hispanic Beneficiaries | 3551 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1714 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2807 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 60 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 19 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 2.1098 |