| National Provider Identifier [NPI]: | 1730159260 |
| Last Name Of The Provider | VEENHUIS |
| First Name Of The Provider | CHANDLER |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3346 LENNON RD |
| Street Address 2 Of The Provider | SUITE 2 |
| City Of The Provider | FLINT |
| Zip Code Of The Provider | 485071076 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 161 |
| Number Of Services | 9053 |
| Number Of Medicare Beneficiaries | 5637 |
| Total Submitted Charge Amount | 421569 |
| Total Medicare Allowed Amount | 215061.24 |
| Total Medicare Payment Amount | 165108.12 |
| Total Medicare Standardized Payment Amount | 171736.58 |
| Drug Suppress Indicator | * |
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| Medical SuppressIndicator | # |
| Number Of HCPCS Associated With MedicalServices | |
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| Number Of Medicare Beneficiaries With Medical Services | |
| Total Medical Submitted Charge Amount | |
| Total Medical Medicare Allowed Amount | |
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| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1300 |
| Number Of Beneficiaries Age 65 to 74 | 1906 |
| Number Of Beneficiaries Age 75 to 84 | 1577 |
| Number Of Beneficiaries Age Greater 84 | 854 |
| Number Of Female Beneficiaries | 3541 |
| Number Of Male Beneficiaries | 2096 |
| Number Of Non Hispanic White Beneficiaries | 4802 |
| Number Of Black or African American Beneficiaries | 613 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 155 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4054 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1583 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7571 |