| National Provider Identifier [NPI]: | 1487684999 |
| Last Name Of The Provider | COOKE |
| First Name Of The Provider | COLEENE |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 838 MARKET ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | ZANESVILLE |
| Zip Code Of The Provider | 437013718 |
| 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 | 214 |
| Number Of Services | 8458 |
| Number Of Medicare Beneficiaries | 4483 |
| Total Submitted Charge Amount | 984044.86 |
| Total Medicare Allowed Amount | 254012.76 |
| Total Medicare Payment Amount | 187582.65 |
| Total Medicare Standardized Payment Amount | 194414.99 |
| 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 | 214 |
| Number Of Medical Services | 8458 |
| Number Of Medicare Beneficiaries With Medical Services | 4483 |
| Total Medical Submitted Charge Amount | 984044.86 |
| Total Medical Medicare Allowed Amount | 254012.76 |
| Total Medical Medicare Payment Amount | 187582.65 |
| Total Medical Medicare Standardized Payment Amount | 194414.99 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1118 |
| Number Of Beneficiaries Age 65 to 74 | 1498 |
| Number Of Beneficiaries Age 75 to 84 | 1273 |
| Number Of Beneficiaries Age Greater 84 | 594 |
| Number Of Female Beneficiaries | 2765 |
| Number Of Male Beneficiaries | 1718 |
| Number Of Non Hispanic White Beneficiaries | 4271 |
| Number Of Black or African American Beneficiaries | 135 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 15 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2831 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1652 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5624 |