| National Provider Identifier [NPI]: | 1407903388 |
| Last Name Of The Provider | HARRIS |
| First Name Of The Provider | ADAM |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5422 DIJON DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | BATON ROUGE |
| Zip Code Of The Provider | 708084315 |
| 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 | 215 |
| Number Of Services | 17467 |
| Number Of Medicare Beneficiaries | 3066 |
| Total Submitted Charge Amount | 1152908.84 |
| Total Medicare Allowed Amount | 320142.02 |
| Total Medicare Payment Amount | 243749.83 |
| Total Medicare Standardized Payment Amount | 263295.11 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 12990 |
| Number Of Medicare Beneficiaries With Drug Services | 190 |
| Total Drug Submitted ChargeAmount | 30353.9 |
| Total Drug Medicare AllowedAmount | 4173.54 |
| Total Drug Medicare PaymentAmount | 3255.78 |
| Total Drug Medicare Standardized Payment Amount | 3255.78 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 210 |
| Number Of Medical Services | 4477 |
| Number Of Medicare Beneficiaries With Medical Services | 3066 |
| Total Medical Submitted Charge Amount | 1122554.94 |
| Total Medical Medicare Allowed Amount | 315968.48 |
| Total Medical Medicare Payment Amount | 240494.05 |
| Total Medical Medicare Standardized Payment Amount | 260039.33 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 690 |
| Number Of Beneficiaries Age 65 to 74 | 1167 |
| Number Of Beneficiaries Age 75 to 84 | 800 |
| Number Of Beneficiaries Age Greater 84 | 409 |
| Number Of Female Beneficiaries | 1938 |
| Number Of Male Beneficiaries | 1128 |
| Number Of Non Hispanic White Beneficiaries | 1900 |
| Number Of Black or African American Beneficiaries | 1079 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 35 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 35 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1971 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1095 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.8323 |