| National Provider Identifier [NPI]: | 1396743712 |
| Last Name Of The Provider | HEAD |
| First Name Of The Provider | STUART |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3704 NORTH BLVD |
| Street Address 2 Of The Provider | STE 1 |
| City Of The Provider | ALEXANDRIA |
| Zip Code Of The Provider | 713013606 |
| 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 | 272 |
| Number Of Services | 5832 |
| Number Of Medicare Beneficiaries | 2613 |
| Total Submitted Charge Amount | 1501679 |
| Total Medicare Allowed Amount | 360165.24 |
| Total Medicare Payment Amount | 276338.42 |
| Total Medicare Standardized Payment Amount | 294959.51 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 950 |
| Number Of Medicare Beneficiaries With Drug Services | 134 |
| Total Drug Submitted ChargeAmount | 73377 |
| Total Drug Medicare AllowedAmount | 1392.5 |
| Total Drug Medicare PaymentAmount | 1076.74 |
| Total Drug Medicare Standardized Payment Amount | 1076.74 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 266 |
| Number Of Medical Services | 4882 |
| Number Of Medicare Beneficiaries With Medical Services | 2613 |
| Total Medical Submitted Charge Amount | 1428302 |
| Total Medical Medicare Allowed Amount | 358772.74 |
| Total Medical Medicare Payment Amount | 275261.68 |
| Total Medical Medicare Standardized Payment Amount | 293882.77 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 570 |
| Number Of Beneficiaries Age 65 to 74 | 968 |
| Number Of Beneficiaries Age 75 to 84 | 793 |
| Number Of Beneficiaries Age Greater 84 | 282 |
| Number Of Female Beneficiaries | 1443 |
| Number Of Male Beneficiaries | 1170 |
| Number Of Non Hispanic White Beneficiaries | 1922 |
| Number Of Black or African American Beneficiaries | 639 |
| 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 | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1575 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1038 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 64 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 1.9789 |