| National Provider Identifier [NPI]: | 1528081254 |
| Last Name Of The Provider | DEMOUY |
| First Name Of The Provider | JEFFREY |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5422 DIJON DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | BATON ROUGE |
| Zip Code Of The Provider | 708084315 |
| 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 | 162 |
| Number Of Services | 13170 |
| Number Of Medicare Beneficiaries | 3436 |
| Total Submitted Charge Amount | 924686.5 |
| Total Medicare Allowed Amount | 285368.93 |
| Total Medicare Payment Amount | 221795.64 |
| Total Medicare Standardized Payment Amount | 238598.69 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 8235 |
| Number Of Medicare Beneficiaries With Drug Services | 98 |
| Total Drug Submitted ChargeAmount | 20056.5 |
| Total Drug Medicare AllowedAmount | 1589.07 |
| Total Drug Medicare PaymentAmount | 1236.65 |
| Total Drug Medicare Standardized Payment Amount | 1236.65 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 161 |
| Number Of Medical Services | 4935 |
| Number Of Medicare Beneficiaries With Medical Services | 3436 |
| Total Medical Submitted Charge Amount | 904630 |
| Total Medical Medicare Allowed Amount | 283779.86 |
| Total Medical Medicare Payment Amount | 220558.99 |
| Total Medical Medicare Standardized Payment Amount | 237362.04 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 650 |
| Number Of Beneficiaries Age 65 to 74 | 1296 |
| Number Of Beneficiaries Age 75 to 84 | 995 |
| Number Of Beneficiaries Age Greater 84 | 495 |
| Number Of Female Beneficiaries | 2118 |
| Number Of Male Beneficiaries | 1318 |
| Number Of Non Hispanic White Beneficiaries | 2287 |
| Number Of Black or African American Beneficiaries | 1049 |
| Number Of AsianPacific Islander Beneficiaries | 21 |
| Number Of Hispanic Beneficiaries | 52 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2386 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1050 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6578 |