| National Provider Identifier [NPI]: | 1528041258 |
| Last Name Of The Provider | BROWN |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1800 RYAN ST |
| Street Address 2 Of The Provider | SUITE 105 |
| City Of The Provider | LAKE CHARLES |
| Zip Code Of The Provider | 706016078 |
| 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 | 207 |
| Number Of Services | 15127 |
| Number Of Medicare Beneficiaries | 5310 |
| Total Submitted Charge Amount | 1444984 |
| Total Medicare Allowed Amount | 303159.48 |
| Total Medicare Payment Amount | 226924.04 |
| Total Medicare Standardized Payment Amount | 243291.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 6140 |
| Number Of Medicare Beneficiaries With Drug Services | 80 |
| Total Drug Submitted ChargeAmount | 28380 |
| Total Drug Medicare AllowedAmount | 3214.57 |
| Total Drug Medicare PaymentAmount | 2497.21 |
| Total Drug Medicare Standardized Payment Amount | 2497.21 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 204 |
| Number Of Medical Services | 8987 |
| Number Of Medicare Beneficiaries With Medical Services | 5310 |
| Total Medical Submitted Charge Amount | 1416604 |
| Total Medical Medicare Allowed Amount | 299944.91 |
| Total Medical Medicare Payment Amount | 224426.83 |
| Total Medical Medicare Standardized Payment Amount | 240794.54 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1110 |
| Number Of Beneficiaries Age 65 to 74 | 2009 |
| Number Of Beneficiaries Age 75 to 84 | 1564 |
| Number Of Beneficiaries Age Greater 84 | 627 |
| Number Of Female Beneficiaries | 3280 |
| Number Of Male Beneficiaries | 2030 |
| Number Of Non Hispanic White Beneficiaries | 4093 |
| Number Of Black or African American Beneficiaries | 1105 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| Number Of Hispanic Beneficiaries | 60 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3800 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1510 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5918 |