| National Provider Identifier [NPI]: | 1174722649 |
| Last Name Of The Provider | CHANG |
| First Name Of The Provider | JUSTIN |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7340 SHADELAND STA STE 200 |
| Street Address 2 Of The Provider | |
| City Of The Provider | INDIANAPOLIS |
| Zip Code Of The Provider | 462563980 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 206 |
| Number Of Services | 7518 |
| Number Of Medicare Beneficiaries | 4630 |
| Total Submitted Charge Amount | 661886 |
| Total Medicare Allowed Amount | 242246.41 |
| Total Medicare Payment Amount | 183384.47 |
| Total Medicare Standardized Payment Amount | 195029 |
| 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 | 206 |
| Number Of Medical Services | 7518 |
| Number Of Medicare Beneficiaries With Medical Services | 4630 |
| Total Medical Submitted Charge Amount | 661886 |
| Total Medical Medicare Allowed Amount | 242246.41 |
| Total Medical Medicare Payment Amount | 183384.47 |
| Total Medical Medicare Standardized Payment Amount | 195029 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 913 |
| Number Of Beneficiaries Age 65 to 74 | 1778 |
| Number Of Beneficiaries Age 75 to 84 | 1277 |
| Number Of Beneficiaries Age Greater 84 | 662 |
| Number Of Female Beneficiaries | 2961 |
| Number Of Male Beneficiaries | 1669 |
| Number Of Non Hispanic White Beneficiaries | 3978 |
| Number Of Black or African American Beneficiaries | 553 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 32 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3480 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1150 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.5279 |