| National Provider Identifier [NPI]: | 1306016464 |
| Last Name Of The Provider | THANT |
| First Name Of The Provider | RONALD |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 600 N DEARBORN ST APT 1705 |
| Street Address 2 Of The Provider | |
| City Of The Provider | CHICAGO |
| Zip Code Of The Provider | 606106296 |
| 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 | 199 |
| Number Of Services | 22954 |
| Number Of Medicare Beneficiaries | 4453 |
| Total Submitted Charge Amount | 1654843.8 |
| Total Medicare Allowed Amount | 373266.74 |
| Total Medicare Payment Amount | 279787.63 |
| Total Medicare Standardized Payment Amount | 270904.02 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 16708 |
| Number Of Medicare Beneficiaries With Drug Services | 220 |
| Total Drug Submitted ChargeAmount | 16923 |
| Total Drug Medicare AllowedAmount | 3747.8 |
| Total Drug Medicare PaymentAmount | 2936.59 |
| Total Drug Medicare Standardized Payment Amount | 2936.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 191 |
| Number Of Medical Services | 6246 |
| Number Of Medicare Beneficiaries With Medical Services | 4453 |
| Total Medical Submitted Charge Amount | 1637920.8 |
| Total Medical Medicare Allowed Amount | 369518.94 |
| Total Medical Medicare Payment Amount | 276851.04 |
| Total Medical Medicare Standardized Payment Amount | 267967.43 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 789 |
| Number Of Beneficiaries Age 65 to 74 | 1606 |
| Number Of Beneficiaries Age 75 to 84 | 1277 |
| Number Of Beneficiaries Age Greater 84 | 781 |
| Number Of Female Beneficiaries | 2597 |
| Number Of Male Beneficiaries | 1856 |
| Number Of Non Hispanic White Beneficiaries | 2683 |
| Number Of Black or African American Beneficiaries | 267 |
| Number Of AsianPacific Islander Beneficiaries | 298 |
| Number Of Hispanic Beneficiaries | 1129 |
| Number Of American Indian Alaska Native Beneficiaries | 40 |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2506 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1947 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 18 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.9658 |