| National Provider Identifier [NPI]: | 1023076049 |
| Last Name Of The Provider | SCHMIDT |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7601 PIONEERS BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | LINCOLN |
| Zip Code Of The Provider | 685064675 |
| State Code Of The Provider | NE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 220 |
| Number Of Services | 12502 |
| Number Of Medicare Beneficiaries | 4375 |
| Total Submitted Charge Amount | 1167047.94 |
| Total Medicare Allowed Amount | 271745.42 |
| Total Medicare Payment Amount | 209482.01 |
| Total Medicare Standardized Payment Amount | 227017.9 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 5774 |
| Number Of Medicare Beneficiaries With Drug Services | 96 |
| Total Drug Submitted ChargeAmount | 4496.94 |
| Total Drug Medicare AllowedAmount | 2147.39 |
| Total Drug Medicare PaymentAmount | 1648.66 |
| Total Drug Medicare Standardized Payment Amount | 1648.66 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 213 |
| Number Of Medical Services | 6728 |
| Number Of Medicare Beneficiaries With Medical Services | 4375 |
| Total Medical Submitted Charge Amount | 1162551 |
| Total Medical Medicare Allowed Amount | 269598.03 |
| Total Medical Medicare Payment Amount | 207833.35 |
| Total Medical Medicare Standardized Payment Amount | 225369.24 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 567 |
| Number Of Beneficiaries Age 65 to 74 | 1624 |
| Number Of Beneficiaries Age 75 to 84 | 1364 |
| Number Of Beneficiaries Age Greater 84 | 820 |
| Number Of Female Beneficiaries | 2872 |
| Number Of Male Beneficiaries | 1503 |
| Number Of Non Hispanic White Beneficiaries | 4211 |
| Number Of Black or African American Beneficiaries | 32 |
| Number Of AsianPacific Islander Beneficiaries | 21 |
| Number Of Hispanic Beneficiaries | 59 |
| Number Of American Indian Alaska Native Beneficiaries | 17 |
| Number Of Beneficiaries With Race Not Else where Classified | 35 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3514 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 861 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3126 |