| National Provider Identifier [NPI]: | 1700809456 |
| Last Name Of The Provider | HARRIS |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | P |
| 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 | 199 |
| Number Of Services | 14263 |
| Number Of Medicare Beneficiaries | 4043 |
| Total Submitted Charge Amount | 1114594.7 |
| Total Medicare Allowed Amount | 329719.77 |
| Total Medicare Payment Amount | 255533.24 |
| Total Medicare Standardized Payment Amount | 271222.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 8379 |
| Number Of Medicare Beneficiaries With Drug Services | 105 |
| Total Drug Submitted ChargeAmount | 19703.7 |
| Total Drug Medicare AllowedAmount | 1709.53 |
| Total Drug Medicare PaymentAmount | 1339.87 |
| Total Drug Medicare Standardized Payment Amount | 1339.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 195 |
| Number Of Medical Services | 5884 |
| Number Of Medicare Beneficiaries With Medical Services | 4043 |
| Total Medical Submitted Charge Amount | 1094891 |
| Total Medical Medicare Allowed Amount | 328010.24 |
| Total Medical Medicare Payment Amount | 254193.37 |
| Total Medical Medicare Standardized Payment Amount | 269882.62 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 922 |
| Number Of Beneficiaries Age 65 to 74 | 1478 |
| Number Of Beneficiaries Age 75 to 84 | 1057 |
| Number Of Beneficiaries Age Greater 84 | 586 |
| Number Of Female Beneficiaries | 2454 |
| Number Of Male Beneficiaries | 1589 |
| Number Of Non Hispanic White Beneficiaries | 2626 |
| Number Of Black or African American Beneficiaries | 1303 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 60 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2582 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1461 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7051 |