| National Provider Identifier [NPI]: | 1093713323 |
| Last Name Of The Provider | LARSON |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3704 NORTH BLVD |
| Street Address 2 Of The Provider | SUITE 1 |
| City Of The Provider | ALEXANDRIA |
| Zip Code Of The Provider | 713013606 |
| State Code Of The Provider | LA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 176 |
| Number Of Services | 10955 |
| Number Of Medicare Beneficiaries | 5878 |
| Total Submitted Charge Amount | 1054577 |
| Total Medicare Allowed Amount | 270764.33 |
| Total Medicare Payment Amount | 206918.72 |
| Total Medicare Standardized Payment Amount | 216845.03 |
| 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 | 176 |
| Number Of Medical Services | 10955 |
| Number Of Medicare Beneficiaries With Medical Services | 5878 |
| Total Medical Submitted Charge Amount | 1054577 |
| Total Medical Medicare Allowed Amount | 270764.33 |
| Total Medical Medicare Payment Amount | 206918.72 |
| Total Medical Medicare Standardized Payment Amount | 216845.03 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1455 |
| Number Of Beneficiaries Age 65 to 74 | 2159 |
| Number Of Beneficiaries Age 75 to 84 | 1604 |
| Number Of Beneficiaries Age Greater 84 | 660 |
| Number Of Female Beneficiaries | 3665 |
| Number Of Male Beneficiaries | 2213 |
| Number Of Non Hispanic White Beneficiaries | 4423 |
| Number Of Black or African American Beneficiaries | 1346 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 44 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3425 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2453 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.6356 |