| National Provider Identifier [NPI]: | 1811942808 |
| Last Name Of The Provider | SNELLGROVE |
| First Name Of The Provider | BOYD |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2315 E MAIN ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | NEW IBERIA |
| Zip Code Of The Provider | 705604031 |
| 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 | 198 |
| Number Of Services | 7057 |
| Number Of Medicare Beneficiaries | 3602 |
| Total Submitted Charge Amount | 654880 |
| Total Medicare Allowed Amount | 181218.73 |
| Total Medicare Payment Amount | 139408.27 |
| Total Medicare Standardized Payment Amount | 146295.37 |
| 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 | 198 |
| Number Of Medical Services | 7057 |
| Number Of Medicare Beneficiaries With Medical Services | 3602 |
| Total Medical Submitted Charge Amount | 654880 |
| Total Medical Medicare Allowed Amount | 181218.73 |
| Total Medical Medicare Payment Amount | 139408.27 |
| Total Medical Medicare Standardized Payment Amount | 146295.37 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 859 |
| Number Of Beneficiaries Age 65 to 74 | 1337 |
| Number Of Beneficiaries Age 75 to 84 | 984 |
| Number Of Beneficiaries Age Greater 84 | 422 |
| Number Of Female Beneficiaries | 2194 |
| Number Of Male Beneficiaries | 1408 |
| Number Of Non Hispanic White Beneficiaries | 2151 |
| Number Of Black or African American Beneficiaries | 1268 |
| Number Of AsianPacific Islander Beneficiaries | 23 |
| Number Of Hispanic Beneficiaries | 117 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2145 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1457 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5102 |