| National Provider Identifier [NPI]: | 1376572008 |
| Last Name Of The Provider | BOYETTE |
| First Name Of The Provider | SCOTT |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 503 MCMILLAN RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | WEST MONROE |
| Zip Code Of The Provider | 712915327 |
| 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 | 276 |
| Number Of Services | 12323 |
| Number Of Medicare Beneficiaries | 4959 |
| Total Submitted Charge Amount | 1329846 |
| Total Medicare Allowed Amount | 272071.78 |
| Total Medicare Payment Amount | 205603.76 |
| Total Medicare Standardized Payment Amount | 222536.43 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 4227 |
| Number Of Medicare Beneficiaries With Drug Services | 62 |
| Total Drug Submitted ChargeAmount | 5415 |
| Total Drug Medicare AllowedAmount | 1352.69 |
| Total Drug Medicare PaymentAmount | 1053.58 |
| Total Drug Medicare Standardized Payment Amount | 1053.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 274 |
| Number Of Medical Services | 8096 |
| Number Of Medicare Beneficiaries With Medical Services | 4959 |
| Total Medical Submitted Charge Amount | 1324431 |
| Total Medical Medicare Allowed Amount | 270719.09 |
| Total Medical Medicare Payment Amount | 204550.18 |
| Total Medical Medicare Standardized Payment Amount | 221482.85 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1167 |
| Number Of Beneficiaries Age 65 to 74 | 1797 |
| Number Of Beneficiaries Age 75 to 84 | 1321 |
| Number Of Beneficiaries Age Greater 84 | 674 |
| Number Of Female Beneficiaries | 2926 |
| Number Of Male Beneficiaries | 2033 |
| Number Of Non Hispanic White Beneficiaries | 3721 |
| Number Of Black or African American Beneficiaries | 1185 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 26 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2943 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2016 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7613 |