| National Provider Identifier [NPI]: | 1205835923 |
| Last Name Of The Provider | LUYCKX |
| First Name Of The Provider | BENOIT |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 875 EIGHTH STREET NE |
| Street Address 2 Of The Provider | |
| City Of The Provider | MASSILLON |
| Zip Code Of The Provider | 446468503 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 138 |
| Number Of Services | 5287 |
| Number Of Medicare Beneficiaries | 3690 |
| Total Submitted Charge Amount | 420017.1 |
| Total Medicare Allowed Amount | 140798.92 |
| Total Medicare Payment Amount | 106383.06 |
| Total Medicare Standardized Payment Amount | 107627.63 |
| 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 | 138 |
| Number Of Medical Services | 5287 |
| Number Of Medicare Beneficiaries With Medical Services | 3690 |
| Total Medical Submitted Charge Amount | 420017.1 |
| Total Medical Medicare Allowed Amount | 140798.92 |
| Total Medical Medicare Payment Amount | 106383.06 |
| Total Medical Medicare Standardized Payment Amount | 107627.63 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 697 |
| Number Of Beneficiaries Age 65 to 74 | 1091 |
| Number Of Beneficiaries Age 75 to 84 | 1124 |
| Number Of Beneficiaries Age Greater 84 | 778 |
| Number Of Female Beneficiaries | 2191 |
| Number Of Male Beneficiaries | 1499 |
| Number Of Non Hispanic White Beneficiaries | 2942 |
| Number Of Black or African American Beneficiaries | 373 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 306 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 35 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2407 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1283 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6323 |