| National Provider Identifier [NPI]: | 1568463305 |
| Last Name Of The Provider | VEEDER |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8940 N WOOD SAGE RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | PEORIA |
| Zip Code Of The Provider | 616157822 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 212 |
| Number Of Services | 222199 |
| Number Of Medicare Beneficiaries | 1686 |
| Total Submitted Charge Amount | 10619011 |
| Total Medicare Allowed Amount | 3360760.23 |
| Total Medicare Payment Amount | 2621569.05 |
| Total Medicare Standardized Payment Amount | 2635395.47 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 98 |
| Number Of Drug Services | 208069 |
| Number Of Medicare Beneficiaries With Drug Services | 704 |
| Total Drug Submitted ChargeAmount | 7738311 |
| Total Drug Medicare AllowedAmount | 2640898.2 |
| Total Drug Medicare PaymentAmount | 2059647.29 |
| Total Drug Medicare Standardized Payment Amount | 2059647.29 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 114 |
| Number Of Medical Services | 14130 |
| Number Of Medicare Beneficiaries With Medical Services | 1683 |
| Total Medical Submitted Charge Amount | 2880700 |
| Total Medical Medicare Allowed Amount | 719862.03 |
| Total Medical Medicare Payment Amount | 561921.76 |
| Total Medical Medicare Standardized Payment Amount | 575748.18 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 164 |
| Number Of Beneficiaries Age 65 to 74 | 747 |
| Number Of Beneficiaries Age 75 to 84 | 574 |
| Number Of Beneficiaries Age Greater 84 | 201 |
| Number Of Female Beneficiaries | 1036 |
| Number Of Male Beneficiaries | 650 |
| Number Of Non Hispanic White Beneficiaries | 1577 |
| Number Of Black or African American Beneficiaries | 82 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 16 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1449 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 237 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 53 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 63 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 33 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.8335 |