| National Provider Identifier [NPI]: | 1942213103 |
| Last Name Of The Provider | HERNANDEZ |
| First Name Of The Provider | CHARLES |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 511 W LAUREL AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | HATTIESBURG |
| Zip Code Of The Provider | 394013504 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 67 |
| Number Of Services | 13115 |
| Number Of Medicare Beneficiaries | 4700 |
| Total Submitted Charge Amount | 803021.35 |
| Total Medicare Allowed Amount | 370072.13 |
| Total Medicare Payment Amount | 267646.21 |
| Total Medicare Standardized Payment Amount | 288989.48 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 866 |
| Number Of Medicare Beneficiaries With Drug Services | 297 |
| Total Drug Submitted ChargeAmount | 16965 |
| Total Drug Medicare AllowedAmount | 6119.2 |
| Total Drug Medicare PaymentAmount | 5663.22 |
| Total Drug Medicare Standardized Payment Amount | 5663.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 56 |
| Number Of Medical Services | 12249 |
| Number Of Medicare Beneficiaries With Medical Services | 4699 |
| Total Medical Submitted Charge Amount | 786056.35 |
| Total Medical Medicare Allowed Amount | 363952.93 |
| Total Medical Medicare Payment Amount | 261982.99 |
| Total Medical Medicare Standardized Payment Amount | 283326.26 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1288 |
| Number Of Beneficiaries Age 65 to 74 | 1593 |
| Number Of Beneficiaries Age 75 to 84 | 1238 |
| Number Of Beneficiaries Age Greater 84 | 581 |
| Number Of Female Beneficiaries | 2645 |
| Number Of Male Beneficiaries | 2055 |
| Number Of Non Hispanic White Beneficiaries | 3132 |
| Number Of Black or African American Beneficiaries | 1513 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 27 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 14 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2597 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2103 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.9987 |