| National Provider Identifier [NPI]: | 1902003924 |
| Last Name Of The Provider | BURGIN |
| First Name Of The Provider | KOREY |
| 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 | 2600 GREENWOOD RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | SHREVEPORT |
| Zip Code Of The Provider | 711033908 |
| 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 | 238 |
| Number Of Services | 9409 |
| Number Of Medicare Beneficiaries | 5664 |
| Total Submitted Charge Amount | 1162861.56 |
| Total Medicare Allowed Amount | 280842.19 |
| Total Medicare Payment Amount | 210801.98 |
| Total Medicare Standardized Payment Amount | 219797.81 |
| 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 | 238 |
| Number Of Medical Services | 9409 |
| Number Of Medicare Beneficiaries With Medical Services | 5664 |
| Total Medical Submitted Charge Amount | 1162861.56 |
| Total Medical Medicare Allowed Amount | 280842.19 |
| Total Medical Medicare Payment Amount | 210801.98 |
| Total Medical Medicare Standardized Payment Amount | 219797.81 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 975 |
| Number Of Beneficiaries Age 65 to 74 | 2123 |
| Number Of Beneficiaries Age 75 to 84 | 1789 |
| Number Of Beneficiaries Age Greater 84 | 777 |
| Number Of Female Beneficiaries | 3694 |
| Number Of Male Beneficiaries | 1970 |
| Number Of Non Hispanic White Beneficiaries | 4099 |
| Number Of Black or African American Beneficiaries | 1451 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 49 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4143 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1521 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8166 |