| National Provider Identifier [NPI]: | 1427047463 |
| Last Name Of The Provider | COOK |
| First Name Of The Provider | GLENN |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3501 N SCOTTSDALE RD |
| Street Address 2 Of The Provider | SUITE 130 |
| City Of The Provider | SCOTTSDALE |
| Zip Code Of The Provider | 852515648 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 258 |
| Number Of Services | 13197 |
| Number Of Medicare Beneficiaries | 3982 |
| Total Submitted Charge Amount | 1074990.8 |
| Total Medicare Allowed Amount | 252257.69 |
| Total Medicare Payment Amount | 184459.56 |
| Total Medicare Standardized Payment Amount | 189742.58 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6521 |
| Number Of Medicare Beneficiaries With Drug Services | 49 |
| Total Drug Submitted ChargeAmount | 14056.8 |
| Total Drug Medicare AllowedAmount | 1197.27 |
| Total Drug Medicare PaymentAmount | 938.54 |
| Total Drug Medicare Standardized Payment Amount | 938.54 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 256 |
| Number Of Medical Services | 6676 |
| Number Of Medicare Beneficiaries With Medical Services | 3982 |
| Total Medical Submitted Charge Amount | 1060934 |
| Total Medical Medicare Allowed Amount | 251060.42 |
| Total Medical Medicare Payment Amount | 183521.02 |
| Total Medical Medicare Standardized Payment Amount | 188804.04 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 240 |
| Number Of Beneficiaries Age 65 to 74 | 1542 |
| Number Of Beneficiaries Age 75 to 84 | 1344 |
| Number Of Beneficiaries Age Greater 84 | 856 |
| Number Of Female Beneficiaries | 2156 |
| Number Of Male Beneficiaries | 1826 |
| Number Of Non Hispanic White Beneficiaries | 3669 |
| Number Of Black or African American Beneficiaries | 68 |
| Number Of AsianPacific Islander Beneficiaries | 33 |
| Number Of Hispanic Beneficiaries | 111 |
| Number Of American Indian Alaska Native Beneficiaries | 60 |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3681 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 301 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.596 |