| National Provider Identifier [NPI]: | 1861599847 |
| Last Name Of The Provider | YOUNG |
| First Name Of The Provider | KEVIN |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1717 OAK PARK BLVD |
| Street Address 2 Of The Provider | SECOND FLOOR |
| City Of The Provider | LAKE CHARLES |
| Zip Code Of The Provider | 706018991 |
| State Code Of The Provider | LA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 109 |
| Number Of Services | 5713 |
| Number Of Medicare Beneficiaries | 2217 |
| Total Submitted Charge Amount | 1361369.12 |
| Total Medicare Allowed Amount | 377589.02 |
| Total Medicare Payment Amount | 278273.49 |
| Total Medicare Standardized Payment Amount | 300314.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 176 |
| Number Of Medicare Beneficiaries With Drug Services | 44 |
| Total Drug Submitted ChargeAmount | 9322.52 |
| Total Drug Medicare AllowedAmount | 9314.47 |
| Total Drug Medicare PaymentAmount | 7302.48 |
| Total Drug Medicare Standardized Payment Amount | 7302.48 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 108 |
| Number Of Medical Services | 5537 |
| Number Of Medicare Beneficiaries With Medical Services | 2217 |
| Total Medical Submitted Charge Amount | 1352046.6 |
| Total Medical Medicare Allowed Amount | 368274.55 |
| Total Medical Medicare Payment Amount | 270971.01 |
| Total Medical Medicare Standardized Payment Amount | 293012.2 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 416 |
| Number Of Beneficiaries Age 65 to 74 | 809 |
| Number Of Beneficiaries Age 75 to 84 | 674 |
| Number Of Beneficiaries Age Greater 84 | 318 |
| Number Of Female Beneficiaries | 1144 |
| Number Of Male Beneficiaries | 1073 |
| Number Of Non Hispanic White Beneficiaries | 1647 |
| Number Of Black or African American Beneficiaries | 532 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 26 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1567 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 650 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7348 |