| National Provider Identifier [NPI]: | 1962444620 |
| Last Name Of The Provider | YATES |
| First Name Of The Provider | CLARENCE |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3725 11TH CR |
| Street Address 2 Of The Provider | |
| City Of The Provider | VERO BEACH |
| Zip Code Of The Provider | 329604804 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 260 |
| Number Of Services | 17940 |
| Number Of Medicare Beneficiaries | 5088 |
| Total Submitted Charge Amount | 1260426.35 |
| Total Medicare Allowed Amount | 581565.63 |
| Total Medicare Payment Amount | 458075.47 |
| Total Medicare Standardized Payment Amount | 444759.82 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 9054 |
| Number Of Medicare Beneficiaries With Drug Services | 197 |
| Total Drug Submitted ChargeAmount | 10387.16 |
| Total Drug Medicare AllowedAmount | 3842.72 |
| Total Drug Medicare PaymentAmount | 3012.65 |
| Total Drug Medicare Standardized Payment Amount | 3012.65 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 254 |
| Number Of Medical Services | 8886 |
| Number Of Medicare Beneficiaries With Medical Services | 5088 |
| Total Medical Submitted Charge Amount | 1250039.19 |
| Total Medical Medicare Allowed Amount | 577722.91 |
| Total Medical Medicare Payment Amount | 455062.82 |
| Total Medical Medicare Standardized Payment Amount | 441747.17 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 488 |
| Number Of Beneficiaries Age 65 to 74 | 1709 |
| Number Of Beneficiaries Age 75 to 84 | 1830 |
| Number Of Beneficiaries Age Greater 84 | 1061 |
| Number Of Female Beneficiaries | 3058 |
| Number Of Male Beneficiaries | 2030 |
| Number Of Non Hispanic White Beneficiaries | 4748 |
| Number Of Black or African American Beneficiaries | 173 |
| Number Of AsianPacific Islander Beneficiaries | 16 |
| Number Of Hispanic Beneficiaries | 106 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4425 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 663 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5486 |