| National Provider Identifier [NPI]: | 1982803532 |
| Last Name Of The Provider | YACOUB |
| First Name Of The Provider | EMAD |
| 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 | 6449 38TH AVE N |
| Street Address 2 Of The Provider | SUITE C4 |
| City Of The Provider | ST PETERSBURG |
| Zip Code Of The Provider | 337101655 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 189 |
| Number Of Services | 11442 |
| Number Of Medicare Beneficiaries | 3918 |
| Total Submitted Charge Amount | 1316232.34 |
| Total Medicare Allowed Amount | 269021.33 |
| Total Medicare Payment Amount | 209215.98 |
| Total Medicare Standardized Payment Amount | 209962.73 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 4835 |
| Number Of Medicare Beneficiaries With Drug Services | 67 |
| Total Drug Submitted ChargeAmount | 7367.5 |
| Total Drug Medicare AllowedAmount | 2109.01 |
| Total Drug Medicare PaymentAmount | 1653.46 |
| Total Drug Medicare Standardized Payment Amount | 1653.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 183 |
| Number Of Medical Services | 6607 |
| Number Of Medicare Beneficiaries With Medical Services | 3917 |
| Total Medical Submitted Charge Amount | 1308864.84 |
| Total Medical Medicare Allowed Amount | 266912.32 |
| Total Medical Medicare Payment Amount | 207562.52 |
| Total Medical Medicare Standardized Payment Amount | 208309.27 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 894 |
| Number Of Beneficiaries Age 65 to 74 | 1123 |
| Number Of Beneficiaries Age 75 to 84 | 1067 |
| Number Of Beneficiaries Age Greater 84 | 834 |
| Number Of Female Beneficiaries | 2293 |
| Number Of Male Beneficiaries | 1625 |
| Number Of Non Hispanic White Beneficiaries | 3210 |
| Number Of Black or African American Beneficiaries | 360 |
| Number Of AsianPacific Islander Beneficiaries | 46 |
| Number Of Hispanic Beneficiaries | 258 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2358 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1560 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 30 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 43 |
| Percent Of With Depression | 41 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 14 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.1078 |