| National Provider Identifier [NPI]: | 1356321236 |
| Last Name Of The Provider | BLOCK |
| First Name Of The Provider | JEFFREY |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 700 S PARK ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | MADISON |
| Zip Code Of The Provider | 537151849 |
| State Code Of The Provider | WI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 215 |
| Number Of Services | 11871 |
| Number Of Medicare Beneficiaries | 4123 |
| Total Submitted Charge Amount | 1692465.79 |
| Total Medicare Allowed Amount | 207242.58 |
| Total Medicare Payment Amount | 160501.85 |
| Total Medicare Standardized Payment Amount | 167832.17 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 4983 |
| Number Of Medicare Beneficiaries With Drug Services | 67 |
| Total Drug Submitted ChargeAmount | 5746 |
| Total Drug Medicare AllowedAmount | 1303.82 |
| Total Drug Medicare PaymentAmount | 981.61 |
| Total Drug Medicare Standardized Payment Amount | 981.61 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 211 |
| Number Of Medical Services | 6888 |
| Number Of Medicare Beneficiaries With Medical Services | 4123 |
| Total Medical Submitted Charge Amount | 1686719.79 |
| Total Medical Medicare Allowed Amount | 205938.76 |
| Total Medical Medicare Payment Amount | 159520.24 |
| Total Medical Medicare Standardized Payment Amount | 166850.56 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 639 |
| Number Of Beneficiaries Age 65 to 74 | 1511 |
| Number Of Beneficiaries Age 75 to 84 | 1263 |
| Number Of Beneficiaries Age Greater 84 | 710 |
| Number Of Female Beneficiaries | 2535 |
| Number Of Male Beneficiaries | 1588 |
| Number Of Non Hispanic White Beneficiaries | 3910 |
| Number Of Black or African American Beneficiaries | 101 |
| Number Of AsianPacific Islander Beneficiaries | 15 |
| Number Of Hispanic Beneficiaries | 37 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3213 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 910 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2969 |