| National Provider Identifier [NPI]: | 1174546386 |
| Last Name Of The Provider | GREEN |
| First Name Of The Provider | WARREN |
| Middle Initial Of The Provider | J |
| 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 | 233 |
| Number Of Services | 10378 |
| Number Of Medicare Beneficiaries | 5122 |
| Total Submitted Charge Amount | 940399 |
| Total Medicare Allowed Amount | 266766.7 |
| Total Medicare Payment Amount | 205489.43 |
| Total Medicare Standardized Payment Amount | 214499.08 |
| 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 | 233 |
| Number Of Medical Services | 10378 |
| Number Of Medicare Beneficiaries With Medical Services | 5122 |
| Total Medical Submitted Charge Amount | 940399 |
| Total Medical Medicare Allowed Amount | 266766.7 |
| Total Medical Medicare Payment Amount | 205489.43 |
| Total Medical Medicare Standardized Payment Amount | 214499.08 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 872 |
| Number Of Beneficiaries Age 65 to 74 | 1781 |
| Number Of Beneficiaries Age 75 to 84 | 1644 |
| Number Of Beneficiaries Age Greater 84 | 825 |
| Number Of Female Beneficiaries | 3216 |
| Number Of Male Beneficiaries | 1906 |
| Number Of Non Hispanic White Beneficiaries | 3896 |
| Number Of Black or African American Beneficiaries | 1173 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 25 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3169 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1953 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.8934 |