| National Provider Identifier [NPI]: | 1841202462 |
| Last Name Of The Provider | JUDGE |
| First Name Of The Provider | JOSEPH |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | ST. JAMES HOSPITAL, RADIOLOGY DEPARTMENT |
| Street Address 2 Of The Provider | 1423 CHICAGO RD |
| City Of The Provider | CHICAGO HEIGHTS |
| Zip Code Of The Provider | 60411 |
| 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 | 229 |
| Number Of Services | 11417 |
| Number Of Medicare Beneficiaries | 7050 |
| Total Submitted Charge Amount | 1947292.24 |
| Total Medicare Allowed Amount | 314055.7 |
| Total Medicare Payment Amount | 242910.28 |
| Total Medicare Standardized Payment Amount | 234115.16 |
| 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 | 229 |
| Number Of Medical Services | 11417 |
| Number Of Medicare Beneficiaries With Medical Services | 7050 |
| Total Medical Submitted Charge Amount | 1947292.24 |
| Total Medical Medicare Allowed Amount | 314055.7 |
| Total Medical Medicare Payment Amount | 242910.28 |
| Total Medical Medicare Standardized Payment Amount | 234115.16 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1455 |
| Number Of Beneficiaries Age 65 to 74 | 2549 |
| Number Of Beneficiaries Age 75 to 84 | 2000 |
| Number Of Beneficiaries Age Greater 84 | 1046 |
| Number Of Female Beneficiaries | 4420 |
| Number Of Male Beneficiaries | 2630 |
| Number Of Non Hispanic White Beneficiaries | 4752 |
| Number Of Black or African American Beneficiaries | 1795 |
| Number Of AsianPacific Islander Beneficiaries | 57 |
| Number Of Hispanic Beneficiaries | 388 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4739 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2311 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8255 |