| National Provider Identifier [NPI]: | 1679514996 |
| Last Name Of The Provider | FELKER |
| 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 | 3050 MONTVALE DR STE A |
| Street Address 2 Of The Provider | |
| City Of The Provider | SPRINGFIELD |
| Zip Code Of The Provider | 627046924 |
| 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 | 173 |
| Number Of Services | 10375 |
| Number Of Medicare Beneficiaries | 4088 |
| Total Submitted Charge Amount | 1354022.69 |
| Total Medicare Allowed Amount | 217469.2 |
| Total Medicare Payment Amount | 172483.16 |
| Total Medicare Standardized Payment Amount | 181020.8 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 3906 |
| Number Of Medicare Beneficiaries With Drug Services | 54 |
| Total Drug Submitted ChargeAmount | 8976.86 |
| Total Drug Medicare AllowedAmount | 1133.98 |
| Total Drug Medicare PaymentAmount | 889.21 |
| Total Drug Medicare Standardized Payment Amount | 889.21 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 170 |
| Number Of Medical Services | 6469 |
| Number Of Medicare Beneficiaries With Medical Services | 4088 |
| Total Medical Submitted Charge Amount | 1345045.83 |
| Total Medical Medicare Allowed Amount | 216335.22 |
| Total Medical Medicare Payment Amount | 171593.95 |
| Total Medical Medicare Standardized Payment Amount | 180131.59 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 840 |
| Number Of Beneficiaries Age 65 to 74 | 1376 |
| Number Of Beneficiaries Age 75 to 84 | 1108 |
| Number Of Beneficiaries Age Greater 84 | 764 |
| Number Of Female Beneficiaries | 2452 |
| Number Of Male Beneficiaries | 1636 |
| Number Of Non Hispanic White Beneficiaries | 3815 |
| Number Of Black or African American Beneficiaries | 206 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 19 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2801 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1287 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7564 |