| National Provider Identifier [NPI]: | 1366698862 |
| Last Name Of The Provider | HIGGINBOTHAM |
| First Name Of The Provider | HUGH |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12 E APPLEBY RD |
| Street Address 2 Of The Provider | SUITE 102 |
| City Of The Provider | FAYETTEVILLE |
| Zip Code Of The Provider | 727033901 |
| State Code Of The Provider | AR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Unknown Physician Specialty Code |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 1 |
| Number Of Services | 5772 |
| Number Of Medicare Beneficiaries | 3607 |
| Total Submitted Charge Amount | 161615 |
| Total Medicare Allowed Amount | 46926.36 |
| Total Medicare Payment Amount | 35228.78 |
| Total Medicare Standardized Payment Amount | 37687.95 |
| 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 | 1 |
| Number Of Medical Services | 5772 |
| Number Of Medicare Beneficiaries With Medical Services | 3607 |
| Total Medical Submitted Charge Amount | 161615 |
| Total Medical Medicare Allowed Amount | 46926.36 |
| Total Medical Medicare Payment Amount | 35228.78 |
| Total Medical Medicare Standardized Payment Amount | 37687.95 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 672 |
| Number Of Beneficiaries Age 65 to 74 | 1238 |
| Number Of Beneficiaries Age 75 to 84 | 1045 |
| Number Of Beneficiaries Age Greater 84 | 652 |
| Number Of Female Beneficiaries | 2118 |
| Number Of Male Beneficiaries | 1489 |
| Number Of Non Hispanic White Beneficiaries | 3403 |
| Number Of Black or African American Beneficiaries | 50 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| Number Of Hispanic Beneficiaries | 55 |
| Number Of American Indian Alaska Native Beneficiaries | 62 |
| Number Of Beneficiaries With Race Not Else where Classified | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2648 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 959 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.5964 |