| National Provider Identifier [NPI]: | 1417980483 |
| Last Name Of The Provider | YACOUB |
| First Name Of The Provider | JOHN |
| 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 | 2723 S 7TH ST |
| Street Address 2 Of The Provider | SUITE A |
| City Of The Provider | TERRE HAUTE |
| Zip Code Of The Provider | 478023558 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 98 |
| Number Of Services | 10495 |
| Number Of Medicare Beneficiaries | 2779 |
| Total Submitted Charge Amount | 2552082.68 |
| Total Medicare Allowed Amount | 938128.57 |
| Total Medicare Payment Amount | 704888.46 |
| Total Medicare Standardized Payment Amount | 741296.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 1228 |
| Number Of Medicare Beneficiaries With Drug Services | 234 |
| Total Drug Submitted ChargeAmount | 108357 |
| Total Drug Medicare AllowedAmount | 14428.57 |
| Total Drug Medicare PaymentAmount | 10943.4 |
| Total Drug Medicare Standardized Payment Amount | 10943.4 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 93 |
| Number Of Medical Services | 9267 |
| Number Of Medicare Beneficiaries With Medical Services | 2779 |
| Total Medical Submitted Charge Amount | 2443725.68 |
| Total Medical Medicare Allowed Amount | 923700 |
| Total Medical Medicare Payment Amount | 693945.06 |
| Total Medical Medicare Standardized Payment Amount | 730352.85 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 602 |
| Number Of Beneficiaries Age 65 to 74 | 1008 |
| Number Of Beneficiaries Age 75 to 84 | 788 |
| Number Of Beneficiaries Age Greater 84 | 381 |
| Number Of Female Beneficiaries | 1491 |
| Number Of Male Beneficiaries | 1288 |
| Number Of Non Hispanic White Beneficiaries | 2689 |
| Number Of Black or African American Beneficiaries | 49 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1940 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 839 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7697 |