| National Provider Identifier [NPI]: | 1629014113 |
| Last Name Of The Provider | ROCCONI |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | M |
| 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 | 212 |
| Number Of Services | 11720 |
| Number Of Medicare Beneficiaries | 2896 |
| Total Submitted Charge Amount | 1104268 |
| Total Medicare Allowed Amount | 244426.62 |
| Total Medicare Payment Amount | 184147.28 |
| Total Medicare Standardized Payment Amount | 199481.6 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 7695 |
| Number Of Medicare Beneficiaries With Drug Services | 118 |
| Total Drug Submitted ChargeAmount | 10315 |
| Total Drug Medicare AllowedAmount | 2609.12 |
| Total Drug Medicare PaymentAmount | 2034.86 |
| Total Drug Medicare Standardized Payment Amount | 2034.86 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 210 |
| Number Of Medical Services | 4025 |
| Number Of Medicare Beneficiaries With Medical Services | 2896 |
| Total Medical Submitted Charge Amount | 1093953 |
| Total Medical Medicare Allowed Amount | 241817.5 |
| Total Medical Medicare Payment Amount | 182112.42 |
| Total Medical Medicare Standardized Payment Amount | 197446.74 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 686 |
| Number Of Beneficiaries Age 65 to 74 | 1105 |
| Number Of Beneficiaries Age 75 to 84 | 786 |
| Number Of Beneficiaries Age Greater 84 | 319 |
| Number Of Female Beneficiaries | 1730 |
| Number Of Male Beneficiaries | 1166 |
| Number Of Non Hispanic White Beneficiaries | 2171 |
| Number Of Black or African American Beneficiaries | 682 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 16 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 15 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1803 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1093 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 53 |
| 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 | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6823 |