| National Provider Identifier [NPI]: | 1881793818 |
| Last Name Of The Provider | OVERBEEKE |
| First Name Of The Provider | CORNELL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 816 HOWARD ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | WHEATON |
| Zip Code Of The Provider | 601874269 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 165 |
| Number Of Services | 12413 |
| Number Of Medicare Beneficiaries | 9038 |
| Total Submitted Charge Amount | 2049549.31 |
| Total Medicare Allowed Amount | 508138.97 |
| Total Medicare Payment Amount | 394035.09 |
| Total Medicare Standardized Payment Amount | 375414.32 |
| 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 | 165 |
| Number Of Medical Services | 12413 |
| Number Of Medicare Beneficiaries With Medical Services | 9038 |
| Total Medical Submitted Charge Amount | 2049549.31 |
| Total Medical Medicare Allowed Amount | 508138.97 |
| Total Medical Medicare Payment Amount | 394035.09 |
| Total Medical Medicare Standardized Payment Amount | 375414.32 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1968 |
| Number Of Beneficiaries Age 65 to 74 | 2634 |
| Number Of Beneficiaries Age 75 to 84 | 2563 |
| Number Of Beneficiaries Age Greater 84 | 1873 |
| Number Of Female Beneficiaries | 5173 |
| Number Of Male Beneficiaries | 3865 |
| Number Of Non Hispanic White Beneficiaries | 6814 |
| Number Of Black or African American Beneficiaries | 1573 |
| Number Of AsianPacific Islander Beneficiaries | 127 |
| Number Of Hispanic Beneficiaries | 432 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 81 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5712 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3326 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 27 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 39 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.0683 |