| National Provider Identifier [NPI]: | 1306870746 |
| Last Name Of The Provider | WALDROP |
| First Name Of The Provider | KEVIN |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5000 W 4TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | HATTIESBURG |
| Zip Code Of The Provider | 394021000 |
| 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 | 216 |
| Number Of Services | 17130 |
| Number Of Medicare Beneficiaries | 5989 |
| Total Submitted Charge Amount | 1556808 |
| Total Medicare Allowed Amount | 335294.58 |
| Total Medicare Payment Amount | 254682.94 |
| Total Medicare Standardized Payment Amount | 275895.86 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 7720 |
| Number Of Medicare Beneficiaries With Drug Services | 111 |
| Total Drug Submitted ChargeAmount | 9553 |
| Total Drug Medicare AllowedAmount | 2214.92 |
| Total Drug Medicare PaymentAmount | 1692.3 |
| Total Drug Medicare Standardized Payment Amount | 1692.3 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 212 |
| Number Of Medical Services | 9410 |
| Number Of Medicare Beneficiaries With Medical Services | 5988 |
| Total Medical Submitted Charge Amount | 1547255 |
| Total Medical Medicare Allowed Amount | 333079.66 |
| Total Medical Medicare Payment Amount | 252990.64 |
| Total Medical Medicare Standardized Payment Amount | 274203.56 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1476 |
| Number Of Beneficiaries Age 65 to 74 | 2198 |
| Number Of Beneficiaries Age 75 to 84 | 1558 |
| Number Of Beneficiaries Age Greater 84 | 757 |
| Number Of Female Beneficiaries | 3595 |
| Number Of Male Beneficiaries | 2394 |
| Number Of Non Hispanic White Beneficiaries | 4462 |
| Number Of Black or African American Beneficiaries | 1457 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 32 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3508 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2481 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6195 |