| National Provider Identifier [NPI]: | 1104019421 |
| Last Name Of The Provider | YOUNGWORTH |
| First Name Of The Provider | HOWARD |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 945 SHASTA ST |
| Street Address 2 Of The Provider | SUTTER BUTTES IMAGING MEDICAL GROUP, INC |
| City Of The Provider | YUBA CITY |
| Zip Code Of The Provider | 959914114 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 187 |
| Number Of Services | 18819 |
| Number Of Medicare Beneficiaries | 3903 |
| Total Submitted Charge Amount | 1519025.92 |
| Total Medicare Allowed Amount | 441716.6 |
| Total Medicare Payment Amount | 341119.59 |
| Total Medicare Standardized Payment Amount | 325919.44 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 10934 |
| Number Of Medicare Beneficiaries With Drug Services | 152 |
| Total Drug Submitted ChargeAmount | 12289.92 |
| Total Drug Medicare AllowedAmount | 3273.9 |
| Total Drug Medicare PaymentAmount | 2507.92 |
| Total Drug Medicare Standardized Payment Amount | 2507.92 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 184 |
| Number Of Medical Services | 7885 |
| Number Of Medicare Beneficiaries With Medical Services | 3902 |
| Total Medical Submitted Charge Amount | 1506736 |
| Total Medical Medicare Allowed Amount | 438442.7 |
| Total Medical Medicare Payment Amount | 338611.67 |
| Total Medical Medicare Standardized Payment Amount | 323411.52 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 742 |
| Number Of Beneficiaries Age 65 to 74 | 1467 |
| Number Of Beneficiaries Age 75 to 84 | 1163 |
| Number Of Beneficiaries Age Greater 84 | 531 |
| Number Of Female Beneficiaries | 2352 |
| Number Of Male Beneficiaries | 1551 |
| Number Of Non Hispanic White Beneficiaries | 2960 |
| Number Of Black or African American Beneficiaries | 78 |
| Number Of AsianPacific Islander Beneficiaries | 327 |
| Number Of Hispanic Beneficiaries | 424 |
| Number Of American Indian Alaska Native Beneficiaries | 60 |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2451 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1452 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5717 |