| National Provider Identifier [NPI]: | 1184665580 |
| Last Name Of The Provider | COVIN |
| First Name Of The Provider | FISHER |
| 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 | 4 WILLOW PT |
| Street Address 2 Of The Provider | SUITE 50 |
| City Of The Provider | HATTIESBURG |
| Zip Code Of The Provider | 394021150 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 199 |
| Number Of Services | 24473 |
| Number Of Medicare Beneficiaries | 2180 |
| Total Submitted Charge Amount | 5667789.77 |
| Total Medicare Allowed Amount | 1777638.25 |
| Total Medicare Payment Amount | 1333800.41 |
| Total Medicare Standardized Payment Amount | 1472367.53 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 1986 |
| Number Of Medicare Beneficiaries With Drug Services | 423 |
| Total Drug Submitted ChargeAmount | 183600 |
| Total Drug Medicare AllowedAmount | 69342.48 |
| Total Drug Medicare PaymentAmount | 52966.34 |
| Total Drug Medicare Standardized Payment Amount | 52966.34 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 195 |
| Number Of Medical Services | 22487 |
| Number Of Medicare Beneficiaries With Medical Services | 2180 |
| Total Medical Submitted Charge Amount | 5484189.77 |
| Total Medical Medicare Allowed Amount | 1708295.77 |
| Total Medical Medicare Payment Amount | 1280834.07 |
| Total Medical Medicare Standardized Payment Amount | 1419401.19 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 358 |
| Number Of Beneficiaries Age 65 to 74 | 848 |
| Number Of Beneficiaries Age 75 to 84 | 669 |
| Number Of Beneficiaries Age Greater 84 | 305 |
| Number Of Female Beneficiaries | 1171 |
| Number Of Male Beneficiaries | 1009 |
| Number Of Non Hispanic White Beneficiaries | 1596 |
| Number Of Black or African American Beneficiaries | 562 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1441 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 739 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5025 |