| National Provider Identifier [NPI]: | 1053589549 |
| Last Name Of The Provider | BAUM |
| First Name Of The Provider | JEREMY |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 11111 S 84TH ST |
| Street Address 2 Of The Provider | SUITE 2476 |
| City Of The Provider | PAPILLION |
| Zip Code Of The Provider | 680464122 |
| State Code Of The Provider | NE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 186 |
| Number Of Services | 6836 |
| Number Of Medicare Beneficiaries | 4165 |
| Total Submitted Charge Amount | 621992 |
| Total Medicare Allowed Amount | 200220.56 |
| Total Medicare Payment Amount | 150325.09 |
| Total Medicare Standardized Payment Amount | 161246.37 |
| 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 | 186 |
| Number Of Medical Services | 6836 |
| Number Of Medicare Beneficiaries With Medical Services | 4165 |
| Total Medical Submitted Charge Amount | 621992 |
| Total Medical Medicare Allowed Amount | 200220.56 |
| Total Medical Medicare Payment Amount | 150325.09 |
| Total Medical Medicare Standardized Payment Amount | 161246.37 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 519 |
| Number Of Beneficiaries Age 65 to 74 | 1521 |
| Number Of Beneficiaries Age 75 to 84 | 1307 |
| Number Of Beneficiaries Age Greater 84 | 818 |
| Number Of Female Beneficiaries | 2505 |
| Number Of Male Beneficiaries | 1660 |
| Number Of Non Hispanic White Beneficiaries | 4040 |
| Number Of Black or African American Beneficiaries | 43 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 35 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3393 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 772 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.221 |