| National Provider Identifier [NPI]: | 1679777189 |
| Last Name Of The Provider | HOGG |
| First Name Of The Provider | BENJAMIN |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 819 WHITFIELD DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | NATCHITOCHES |
| Zip Code Of The Provider | 714576134 |
| 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 | 195 |
| Number Of Services | 11899 |
| Number Of Medicare Beneficiaries | 5660 |
| Total Submitted Charge Amount | 1102487 |
| Total Medicare Allowed Amount | 287928.2 |
| Total Medicare Payment Amount | 211630.42 |
| Total Medicare Standardized Payment Amount | 221164.76 |
| 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 | 195 |
| Number Of Medical Services | 11899 |
| Number Of Medicare Beneficiaries With Medical Services | 5660 |
| Total Medical Submitted Charge Amount | 1102487 |
| Total Medical Medicare Allowed Amount | 287928.2 |
| Total Medical Medicare Payment Amount | 211630.42 |
| Total Medical Medicare Standardized Payment Amount | 221164.76 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1272 |
| Number Of Beneficiaries Age 65 to 74 | 2123 |
| Number Of Beneficiaries Age 75 to 84 | 1567 |
| Number Of Beneficiaries Age Greater 84 | 698 |
| Number Of Female Beneficiaries | 3467 |
| Number Of Male Beneficiaries | 2193 |
| Number Of Non Hispanic White Beneficiaries | 4086 |
| Number Of Black or African American Beneficiaries | 1449 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 56 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 44 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3214 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2446 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5378 |