| National Provider Identifier [NPI]: | 1609839422 |
| Last Name Of The Provider | FELT |
| First Name Of The Provider | JONATHAN |
| Middle Initial Of The Provider | Q |
| 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 | 166 |
| Number Of Services | 8563 |
| Number Of Medicare Beneficiaries | 4040 |
| Total Submitted Charge Amount | 1275613.62 |
| Total Medicare Allowed Amount | 298451.09 |
| Total Medicare Payment Amount | 230208.94 |
| Total Medicare Standardized Payment Amount | 250099.66 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 2646 |
| Number Of Medicare Beneficiaries With Drug Services | 54 |
| Total Drug Submitted ChargeAmount | 3150.62 |
| Total Drug Medicare AllowedAmount | 1369.03 |
| Total Drug Medicare PaymentAmount | 1073.31 |
| Total Drug Medicare Standardized Payment Amount | 1073.31 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 162 |
| Number Of Medical Services | 5917 |
| Number Of Medicare Beneficiaries With Medical Services | 4039 |
| Total Medical Submitted Charge Amount | 1272463 |
| Total Medical Medicare Allowed Amount | 297082.06 |
| Total Medical Medicare Payment Amount | 229135.63 |
| Total Medical Medicare Standardized Payment Amount | 249026.35 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 495 |
| Number Of Beneficiaries Age 65 to 74 | 1615 |
| Number Of Beneficiaries Age 75 to 84 | 1242 |
| Number Of Beneficiaries Age Greater 84 | 688 |
| Number Of Female Beneficiaries | 2529 |
| Number Of Male Beneficiaries | 1511 |
| Number Of Non Hispanic White Beneficiaries | 3877 |
| Number Of Black or African American Beneficiaries | 34 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 53 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3298 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 742 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 50 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.2943 |