| National Provider Identifier [NPI]: | 1932260742 |
| Last Name Of The Provider | FEINZIMER |
| First Name Of The Provider | ELLYN |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5145 N CALIFORNIA AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | CHICAGO |
| Zip Code Of The Provider | 606253661 |
| 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 | 133 |
| Number Of Services | 14758 |
| Number Of Medicare Beneficiaries | 5694 |
| Total Submitted Charge Amount | 772318 |
| Total Medicare Allowed Amount | 173590.1 |
| Total Medicare Payment Amount | 127012.15 |
| Total Medicare Standardized Payment Amount | 118238.99 |
| 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 | 133 |
| Number Of Medical Services | 14758 |
| Number Of Medicare Beneficiaries With Medical Services | 5694 |
| Total Medical Submitted Charge Amount | 772318 |
| Total Medical Medicare Allowed Amount | 173590.1 |
| Total Medical Medicare Payment Amount | 127012.15 |
| Total Medical Medicare Standardized Payment Amount | 118238.99 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 831 |
| Number Of Beneficiaries Age 65 to 74 | 1866 |
| Number Of Beneficiaries Age 75 to 84 | 1786 |
| Number Of Beneficiaries Age Greater 84 | 1211 |
| Number Of Female Beneficiaries | 3387 |
| Number Of Male Beneficiaries | 2307 |
| Number Of Non Hispanic White Beneficiaries | 3338 |
| Number Of Black or African American Beneficiaries | 281 |
| Number Of AsianPacific Islander Beneficiaries | 1013 |
| Number Of Hispanic Beneficiaries | 866 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2794 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2900 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.8027 |