| National Provider Identifier [NPI]: | 1336140078 |
| Last Name Of The Provider | CUNNINGHAM |
| First Name Of The Provider | STEVEN |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | MD |
| 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 | 232 |
| Number Of Services | 15922 |
| Number Of Medicare Beneficiaries | 4255 |
| Total Submitted Charge Amount | 1356787 |
| Total Medicare Allowed Amount | 308345.42 |
| Total Medicare Payment Amount | 232284.09 |
| Total Medicare Standardized Payment Amount | 256193.69 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 9670 |
| Number Of Medicare Beneficiaries With Drug Services | 149 |
| Total Drug Submitted ChargeAmount | 12966 |
| Total Drug Medicare AllowedAmount | 3325.15 |
| Total Drug Medicare PaymentAmount | 2567.94 |
| Total Drug Medicare Standardized Payment Amount | 2567.94 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 230 |
| Number Of Medical Services | 6252 |
| Number Of Medicare Beneficiaries With Medical Services | 4255 |
| Total Medical Submitted Charge Amount | 1343821 |
| Total Medical Medicare Allowed Amount | 305020.27 |
| Total Medical Medicare Payment Amount | 229716.15 |
| Total Medical Medicare Standardized Payment Amount | 253625.75 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1011 |
| Number Of Beneficiaries Age 65 to 74 | 1597 |
| Number Of Beneficiaries Age 75 to 84 | 1149 |
| Number Of Beneficiaries Age Greater 84 | 498 |
| Number Of Female Beneficiaries | 2574 |
| Number Of Male Beneficiaries | 1681 |
| Number Of Non Hispanic White Beneficiaries | 3251 |
| Number Of Black or African American Beneficiaries | 952 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 29 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2574 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1681 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6794 |