| National Provider Identifier [NPI]: | 1790736635 |
| Last Name Of The Provider | CROSS |
| First Name Of The Provider | GORDON |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5200 RELIABLE PARKWAY |
| Street Address 2 Of The Provider | |
| City Of The Provider | CHICAGO |
| Zip Code Of The Provider | 606860001 |
| 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 | 198 |
| Number Of Services | 9987 |
| Number Of Medicare Beneficiaries | 5122 |
| Total Submitted Charge Amount | 1287845 |
| Total Medicare Allowed Amount | 235599.08 |
| Total Medicare Payment Amount | 187216.11 |
| Total Medicare Standardized Payment Amount | 190159.29 |
| 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 | 198 |
| Number Of Medical Services | 9987 |
| Number Of Medicare Beneficiaries With Medical Services | 5122 |
| Total Medical Submitted Charge Amount | 1287845 |
| Total Medical Medicare Allowed Amount | 235599.08 |
| Total Medical Medicare Payment Amount | 187216.11 |
| Total Medical Medicare Standardized Payment Amount | 190159.29 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 800 |
| Number Of Beneficiaries Age 65 to 74 | 1997 |
| Number Of Beneficiaries Age 75 to 84 | 1504 |
| Number Of Beneficiaries Age Greater 84 | 821 |
| Number Of Female Beneficiaries | 3382 |
| Number Of Male Beneficiaries | 1740 |
| Number Of Non Hispanic White Beneficiaries | 4839 |
| Number Of Black or African American Beneficiaries | 190 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 40 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4020 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1102 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4215 |