| National Provider Identifier [NPI]: | 1760433726 |
| Last Name Of The Provider | YOUNG |
| First Name Of The Provider | CARTER |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5200 RELIABLE PARKWAY |
| Street Address 2 Of The Provider | |
| City Of The Provider | CHICAGO |
| Zip Code Of The Provider | 606860001 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 170 |
| Number Of Services | 6305 |
| Number Of Medicare Beneficiaries | 3832 |
| Total Submitted Charge Amount | 1036824 |
| Total Medicare Allowed Amount | 201618.23 |
| Total Medicare Payment Amount | 154831 |
| Total Medicare Standardized Payment Amount | 156497.96 |
| 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 | 170 |
| Number Of Medical Services | 6305 |
| Number Of Medicare Beneficiaries With Medical Services | 3832 |
| Total Medical Submitted Charge Amount | 1036824 |
| Total Medical Medicare Allowed Amount | 201618.23 |
| Total Medical Medicare Payment Amount | 154831 |
| Total Medical Medicare Standardized Payment Amount | 156497.96 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 605 |
| Number Of Beneficiaries Age 65 to 74 | 1483 |
| Number Of Beneficiaries Age 75 to 84 | 1135 |
| Number Of Beneficiaries Age Greater 84 | 609 |
| Number Of Female Beneficiaries | 2310 |
| Number Of Male Beneficiaries | 1522 |
| Number Of Non Hispanic White Beneficiaries | 3480 |
| Number Of Black or African American Beneficiaries | 288 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 35 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3000 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 832 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 23 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.629 |