| National Provider Identifier [NPI]: | 1215041116 |
| Last Name Of The Provider | PARKER |
| First Name Of The Provider | BENTON |
| 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 | 969 LAKELAND DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | JACKSON |
| Zip Code Of The Provider | 392164606 |
| 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 | 274 |
| Number Of Services | 11227 |
| Number Of Medicare Beneficiaries | 5859 |
| Total Submitted Charge Amount | 2542746 |
| Total Medicare Allowed Amount | 331736.92 |
| Total Medicare Payment Amount | 251345.38 |
| Total Medicare Standardized Payment Amount | 265776.26 |
| 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 | 274 |
| Number Of Medical Services | 11227 |
| Number Of Medicare Beneficiaries With Medical Services | 5859 |
| Total Medical Submitted Charge Amount | 2542746 |
| Total Medical Medicare Allowed Amount | 331736.92 |
| Total Medical Medicare Payment Amount | 251345.38 |
| Total Medical Medicare Standardized Payment Amount | 265776.26 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1356 |
| Number Of Beneficiaries Age 65 to 74 | 1909 |
| Number Of Beneficiaries Age 75 to 84 | 1643 |
| Number Of Beneficiaries Age Greater 84 | 951 |
| Number Of Female Beneficiaries | 3445 |
| Number Of Male Beneficiaries | 2414 |
| Number Of Non Hispanic White Beneficiaries | 3594 |
| Number Of Black or African American Beneficiaries | 2192 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 28 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3604 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2255 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.0564 |