| National Provider Identifier [NPI]: | 1134119878 |
| Last Name Of The Provider | HADDAD |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12951 SOUTH FWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | HOUSTON |
| Zip Code Of The Provider | 770471923 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 126 |
| Number Of Services | 6901 |
| Number Of Medicare Beneficiaries | 5242 |
| Total Submitted Charge Amount | 841369 |
| Total Medicare Allowed Amount | 157004.2 |
| Total Medicare Payment Amount | 119198.99 |
| Total Medicare Standardized Payment Amount | 119985.38 |
| 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 | 126 |
| Number Of Medical Services | 6901 |
| Number Of Medicare Beneficiaries With Medical Services | 5242 |
| Total Medical Submitted Charge Amount | 841369 |
| Total Medical Medicare Allowed Amount | 157004.2 |
| Total Medical Medicare Payment Amount | 119198.99 |
| Total Medical Medicare Standardized Payment Amount | 119985.38 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 884 |
| Number Of Beneficiaries Age 65 to 74 | 1975 |
| Number Of Beneficiaries Age 75 to 84 | 1488 |
| Number Of Beneficiaries Age Greater 84 | 895 |
| Number Of Female Beneficiaries | 2918 |
| Number Of Male Beneficiaries | 2324 |
| Number Of Non Hispanic White Beneficiaries | 3443 |
| Number Of Black or African American Beneficiaries | 1009 |
| Number Of AsianPacific Islander Beneficiaries | 184 |
| Number Of Hispanic Beneficiaries | 528 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4160 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1082 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 50 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.4599 |