| National Provider Identifier [NPI]: | 1982656450 |
| Last Name Of The Provider | NOBLE |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1747 IMPERIAL BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAKE CHARLES |
| Zip Code Of The Provider | 706055362 |
| State Code Of The Provider | LA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Orthopedic Surgery |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 282 |
| Number Of Services | 55539 |
| Number Of Medicare Beneficiaries | 3826 |
| Total Submitted Charge Amount | 3701742.4 |
| Total Medicare Allowed Amount | 901485.26 |
| Total Medicare Payment Amount | 673013.5 |
| Total Medicare Standardized Payment Amount | 756419.74 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 45951 |
| Number Of Medicare Beneficiaries With Drug Services | 836 |
| Total Drug Submitted ChargeAmount | 119074.8 |
| Total Drug Medicare AllowedAmount | 31978.48 |
| Total Drug Medicare PaymentAmount | 24044.53 |
| Total Drug Medicare Standardized Payment Amount | 24044.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 273 |
| Number Of Medical Services | 9588 |
| Number Of Medicare Beneficiaries With Medical Services | 3826 |
| Total Medical Submitted Charge Amount | 3582667.6 |
| Total Medical Medicare Allowed Amount | 869506.78 |
| Total Medical Medicare Payment Amount | 648968.97 |
| Total Medical Medicare Standardized Payment Amount | 732375.21 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 511 |
| Number Of Beneficiaries Age 65 to 74 | 1815 |
| Number Of Beneficiaries Age 75 to 84 | 1138 |
| Number Of Beneficiaries Age Greater 84 | 362 |
| Number Of Female Beneficiaries | 2426 |
| Number Of Male Beneficiaries | 1400 |
| Number Of Non Hispanic White Beneficiaries | 3339 |
| Number Of Black or African American Beneficiaries | 394 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 61 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 17 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3334 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 492 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1379 |