| National Provider Identifier [NPI]: | 1053389858 |
| Last Name Of The Provider | KOEPKE |
| First Name Of The Provider | RONALD |
| 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 | 102 THOMAS RD |
| Street Address 2 Of The Provider | SUITE 400 |
| City Of The Provider | WEST MONROE |
| Zip Code Of The Provider | 712917366 |
| State Code Of The Provider | LA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 75 |
| Number Of Services | 10687 |
| Number Of Medicare Beneficiaries | 3371 |
| Total Submitted Charge Amount | 1508070.28 |
| Total Medicare Allowed Amount | 555726.06 |
| Total Medicare Payment Amount | 407648.42 |
| Total Medicare Standardized Payment Amount | 429022.83 |
| 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 | 75 |
| Number Of Medical Services | 10687 |
| Number Of Medicare Beneficiaries With Medical Services | 3371 |
| Total Medical Submitted Charge Amount | 1508070.28 |
| Total Medical Medicare Allowed Amount | 555726.06 |
| Total Medical Medicare Payment Amount | 407648.42 |
| Total Medical Medicare Standardized Payment Amount | 429022.83 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 452 |
| Number Of Beneficiaries Age 65 to 74 | 1090 |
| Number Of Beneficiaries Age 75 to 84 | 1168 |
| Number Of Beneficiaries Age Greater 84 | 661 |
| Number Of Female Beneficiaries | 1842 |
| Number Of Male Beneficiaries | 1529 |
| Number Of Non Hispanic White Beneficiaries | 2698 |
| Number Of Black or African American Beneficiaries | 637 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 20 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2364 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1007 |
| Percent Of With Atrial Fibrillation | 29 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 47 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9505 |