| National Provider Identifier [NPI]: | 1063466217 |
| Last Name Of The Provider | WINJUM |
| First Name Of The Provider | DOUGLAS |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7121 STEPHANIE LN |
| Street Address 2 Of The Provider | STE 100 |
| City Of The Provider | LINCOLN |
| Zip Code Of The Provider | 685165359 |
| 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 | 182 |
| Number Of Services | 7391 |
| Number Of Medicare Beneficiaries | 4109 |
| Total Submitted Charge Amount | 911669 |
| Total Medicare Allowed Amount | 222194.77 |
| Total Medicare Payment Amount | 168987.2 |
| Total Medicare Standardized Payment Amount | 180721.98 |
| 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 | 182 |
| Number Of Medical Services | 7391 |
| Number Of Medicare Beneficiaries With Medical Services | 4109 |
| Total Medical Submitted Charge Amount | 911669 |
| Total Medical Medicare Allowed Amount | 222194.77 |
| Total Medical Medicare Payment Amount | 168987.2 |
| Total Medical Medicare Standardized Payment Amount | 180721.98 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 678 |
| Number Of Beneficiaries Age 65 to 74 | 1465 |
| Number Of Beneficiaries Age 75 to 84 | 1249 |
| Number Of Beneficiaries Age Greater 84 | 717 |
| Number Of Female Beneficiaries | 2582 |
| Number Of Male Beneficiaries | 1527 |
| Number Of Non Hispanic White Beneficiaries | 3855 |
| Number Of Black or African American Beneficiaries | 86 |
| Number Of AsianPacific Islander Beneficiaries | 41 |
| Number Of Hispanic Beneficiaries | 69 |
| Number Of American Indian Alaska Native Beneficiaries | 22 |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3155 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 954 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4543 |