| National Provider Identifier [NPI]: | 1912913757 |
| Last Name Of The Provider | CHARD |
| First Name Of The Provider | DANA |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M. D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 227 S 13TH AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAUREL |
| Zip Code Of The Provider | 394404225 |
| 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 | 192 |
| Number Of Services | 5527 |
| Number Of Medicare Beneficiaries | 3265 |
| Total Submitted Charge Amount | 854541 |
| Total Medicare Allowed Amount | 152460.53 |
| Total Medicare Payment Amount | 114984.62 |
| Total Medicare Standardized Payment Amount | 124801.2 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 217 |
| Number Of Medicare Beneficiaries With Drug Services | 13 |
| Total Drug Submitted ChargeAmount | 1085 |
| Total Drug Medicare AllowedAmount | 430.41 |
| Total Drug Medicare PaymentAmount | 337.47 |
| Total Drug Medicare Standardized Payment Amount | 337.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 191 |
| Number Of Medical Services | 5310 |
| Number Of Medicare Beneficiaries With Medical Services | 3265 |
| Total Medical Submitted Charge Amount | 853456 |
| Total Medical Medicare Allowed Amount | 152030.12 |
| Total Medical Medicare Payment Amount | 114647.15 |
| Total Medical Medicare Standardized Payment Amount | 124463.73 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 801 |
| Number Of Beneficiaries Age 65 to 74 | 1113 |
| Number Of Beneficiaries Age 75 to 84 | 910 |
| Number Of Beneficiaries Age Greater 84 | 441 |
| Number Of Female Beneficiaries | 1964 |
| Number Of Male Beneficiaries | 1301 |
| Number Of Non Hispanic White Beneficiaries | 2098 |
| Number Of Black or African American Beneficiaries | 1096 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 47 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1932 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1333 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7005 |