| National Provider Identifier [NPI]: | 1649227935 |
| Last Name Of The Provider | AILES |
| First Name Of The Provider | JEFFRY |
| Middle Initial Of The Provider | |
| 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 | 68506 |
| State Code Of The Provider | NE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Interventional Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 195 |
| Number Of Services | 12317 |
| Number Of Medicare Beneficiaries | 4173 |
| Total Submitted Charge Amount | 1014887.64 |
| Total Medicare Allowed Amount | 237892.03 |
| Total Medicare Payment Amount | 185827.3 |
| Total Medicare Standardized Payment Amount | 201731.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 5851 |
| Number Of Medicare Beneficiaries With Drug Services | 89 |
| Total Drug Submitted ChargeAmount | 4069.64 |
| Total Drug Medicare AllowedAmount | 1902.09 |
| Total Drug Medicare PaymentAmount | 1466.37 |
| Total Drug Medicare Standardized Payment Amount | 1466.37 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 189 |
| Number Of Medical Services | 6466 |
| Number Of Medicare Beneficiaries With Medical Services | 4173 |
| Total Medical Submitted Charge Amount | 1010818 |
| Total Medical Medicare Allowed Amount | 235989.94 |
| Total Medical Medicare Payment Amount | 184360.93 |
| Total Medical Medicare Standardized Payment Amount | 200265.38 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 561 |
| Number Of Beneficiaries Age 65 to 74 | 1568 |
| Number Of Beneficiaries Age 75 to 84 | 1288 |
| Number Of Beneficiaries Age Greater 84 | 756 |
| Number Of Female Beneficiaries | 2783 |
| Number Of Male Beneficiaries | 1390 |
| Number Of Non Hispanic White Beneficiaries | 4036 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 23 |
| Number Of Hispanic Beneficiaries | 58 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3323 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 850 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2997 |