| National Provider Identifier [NPI]: | 1912990961 |
| Last Name Of The Provider | BROWN |
| First Name Of The Provider | RAYMOND |
| 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 | 307 HIGHLAND BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | NATCHEZ |
| Zip Code Of The Provider | 391204610 |
| 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 | 133 |
| Number Of Services | 7612 |
| Number Of Medicare Beneficiaries | 2933 |
| Total Submitted Charge Amount | 836265 |
| Total Medicare Allowed Amount | 164414.36 |
| Total Medicare Payment Amount | 122553.51 |
| Total Medicare Standardized Payment Amount | 129181.8 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 133 |
| Number Of Medical Services | 7612 |
| Number Of Medicare Beneficiaries With Medical Services | 2933 |
| Total Medical Submitted Charge Amount | 836265 |
| Total Medical Medicare Allowed Amount | 164414.36 |
| Total Medical Medicare Payment Amount | 122553.51 |
| Total Medical Medicare Standardized Payment Amount | 129181.8 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 856 |
| Number Of Beneficiaries Age 65 to 74 | 934 |
| Number Of Beneficiaries Age 75 to 84 | 774 |
| Number Of Beneficiaries Age Greater 84 | 369 |
| Number Of Female Beneficiaries | 1714 |
| Number Of Male Beneficiaries | 1219 |
| Number Of Non Hispanic White Beneficiaries | 1456 |
| Number Of Black or African American Beneficiaries | 1449 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 13 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1346 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1587 |
| Percent Of With Atrial Fibrillation | 8 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5145 |