| National Provider Identifier [NPI]: | 1003817982 |
| Last Name Of The Provider | LAWSON |
| First Name Of The Provider | ERIC |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4320 15TH ST |
| Street Address 2 Of The Provider | SUITE A |
| City Of The Provider | GULFPORT |
| Zip Code Of The Provider | 395012524 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 235 |
| Number Of Services | 9345 |
| Number Of Medicare Beneficiaries | 4836 |
| Total Submitted Charge Amount | 1361625 |
| Total Medicare Allowed Amount | 275791.86 |
| Total Medicare Payment Amount | 205621.91 |
| Total Medicare Standardized Payment Amount | 218856.53 |
| 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 | 235 |
| Number Of Medical Services | 9345 |
| Number Of Medicare Beneficiaries With Medical Services | 4836 |
| Total Medical Submitted Charge Amount | 1361625 |
| Total Medical Medicare Allowed Amount | 275791.86 |
| Total Medical Medicare Payment Amount | 205621.91 |
| Total Medical Medicare Standardized Payment Amount | 218856.53 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1256 |
| Number Of Beneficiaries Age 65 to 74 | 1760 |
| Number Of Beneficiaries Age 75 to 84 | 1233 |
| Number Of Beneficiaries Age Greater 84 | 587 |
| Number Of Female Beneficiaries | 2936 |
| Number Of Male Beneficiaries | 1900 |
| Number Of Non Hispanic White Beneficiaries | 3796 |
| Number Of Black or African American Beneficiaries | 926 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 58 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3175 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1661 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.691 |