| National Provider Identifier [NPI]: | 1821037177 |
| Last Name Of The Provider | HOWARD |
| First Name Of The Provider | JEFFREY |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 620 CROSSOVER ROAD |
| Street Address 2 Of The Provider | |
| City Of The Provider | TUPELO |
| Zip Code Of The Provider | 388014944 |
| 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 | 301 |
| Number Of Services | 25402 |
| Number Of Medicare Beneficiaries | 3964 |
| Total Submitted Charge Amount | 2319773.72 |
| Total Medicare Allowed Amount | 571775.4 |
| Total Medicare Payment Amount | 438847.67 |
| Total Medicare Standardized Payment Amount | 474053.8 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 18341 |
| Number Of Medicare Beneficiaries With Drug Services | 192 |
| Total Drug Submitted ChargeAmount | 19450.18 |
| Total Drug Medicare AllowedAmount | 3723 |
| Total Drug Medicare PaymentAmount | 2906.7 |
| Total Drug Medicare Standardized Payment Amount | 2906.7 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 297 |
| Number Of Medical Services | 7061 |
| Number Of Medicare Beneficiaries With Medical Services | 3964 |
| Total Medical Submitted Charge Amount | 2300323.54 |
| Total Medical Medicare Allowed Amount | 568052.4 |
| Total Medical Medicare Payment Amount | 435940.97 |
| Total Medical Medicare Standardized Payment Amount | 471147.1 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1024 |
| Number Of Beneficiaries Age 65 to 74 | 1367 |
| Number Of Beneficiaries Age 75 to 84 | 1113 |
| Number Of Beneficiaries Age Greater 84 | 460 |
| Number Of Female Beneficiaries | 2167 |
| Number Of Male Beneficiaries | 1797 |
| Number Of Non Hispanic White Beneficiaries | 3182 |
| Number Of Black or African American Beneficiaries | 748 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 13 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2363 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1601 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.8173 |