| National Provider Identifier [NPI]: | 1609820984 |
| Last Name Of The Provider | LIND |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2400 N ROCKTON AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | ROCKFORD |
| Zip Code Of The Provider | 611033655 |
| 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 | 213 |
| Number Of Services | 20610 |
| Number Of Medicare Beneficiaries | 9409 |
| Total Submitted Charge Amount | 2826648 |
| Total Medicare Allowed Amount | 685647.78 |
| Total Medicare Payment Amount | 548049.88 |
| Total Medicare Standardized Payment Amount | 600912.12 |
| 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 | 213 |
| Number Of Medical Services | 20610 |
| Number Of Medicare Beneficiaries With Medical Services | 9409 |
| Total Medical Submitted Charge Amount | 2826648 |
| Total Medical Medicare Allowed Amount | 685647.78 |
| Total Medical Medicare Payment Amount | 548049.88 |
| Total Medical Medicare Standardized Payment Amount | 600912.12 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1763 |
| Number Of Beneficiaries Age 65 to 74 | 3544 |
| Number Of Beneficiaries Age 75 to 84 | 2722 |
| Number Of Beneficiaries Age Greater 84 | 1380 |
| Number Of Female Beneficiaries | 6336 |
| Number Of Male Beneficiaries | 3073 |
| Number Of Non Hispanic White Beneficiaries | 8142 |
| Number Of Black or African American Beneficiaries | 868 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 252 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 80 |
| Number Of Beneficiaries With Medicare Only Entitlement | 7260 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2149 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3172 |