| National Provider Identifier [NPI]: | 1407847015 |
| Last Name Of The Provider | OLSON |
| First Name Of The Provider | CHARLES |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1215 DUFF AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | AMES |
| Zip Code Of The Provider | 500105400 |
| State Code Of The Provider | IA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 205 |
| Number Of Services | 24731 |
| Number Of Medicare Beneficiaries | 5717 |
| Total Submitted Charge Amount | 1831291 |
| Total Medicare Allowed Amount | 552170.37 |
| Total Medicare Payment Amount | 433537.89 |
| Total Medicare Standardized Payment Amount | 475419.83 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 14295 |
| Number Of Medicare Beneficiaries With Drug Services | 223 |
| Total Drug Submitted ChargeAmount | 17343 |
| Total Drug Medicare AllowedAmount | 4051.64 |
| Total Drug Medicare PaymentAmount | 3126.31 |
| Total Drug Medicare Standardized Payment Amount | 3126.31 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 203 |
| Number Of Medical Services | 10436 |
| Number Of Medicare Beneficiaries With Medical Services | 5717 |
| Total Medical Submitted Charge Amount | 1813948 |
| Total Medical Medicare Allowed Amount | 548118.73 |
| Total Medical Medicare Payment Amount | 430411.58 |
| Total Medical Medicare Standardized Payment Amount | 472293.52 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 558 |
| Number Of Beneficiaries Age 65 to 74 | 2275 |
| Number Of Beneficiaries Age 75 to 84 | 1892 |
| Number Of Beneficiaries Age Greater 84 | 992 |
| Number Of Female Beneficiaries | 3775 |
| Number Of Male Beneficiaries | 1942 |
| Number Of Non Hispanic White Beneficiaries | 5527 |
| Number Of Black or African American Beneficiaries | 25 |
| Number Of AsianPacific Islander Beneficiaries | 36 |
| Number Of Hispanic Beneficiaries | 44 |
| Number Of American Indian Alaska Native Beneficiaries | 21 |
| Number Of Beneficiaries With Race Not Else where Classified | 64 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4949 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 768 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.246 |