| National Provider Identifier [NPI]: | 1528289055 |
| Last Name Of The Provider | RIEKE |
| First Name Of The Provider | JOSHUA |
| 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 | 3050 MONTVALE DR STE A |
| Street Address 2 Of The Provider | |
| City Of The Provider | SPRINGFIELD |
| Zip Code Of The Provider | 627046924 |
| 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 | 222 |
| Number Of Services | 18589 |
| Number Of Medicare Beneficiaries | 4493 |
| Total Submitted Charge Amount | 2133125.86 |
| Total Medicare Allowed Amount | 357808.84 |
| Total Medicare Payment Amount | 279455.62 |
| Total Medicare Standardized Payment Amount | 296814.26 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 11151 |
| Number Of Medicare Beneficiaries With Drug Services | 150 |
| Total Drug Submitted ChargeAmount | 25456.75 |
| Total Drug Medicare AllowedAmount | 2894.83 |
| Total Drug Medicare PaymentAmount | 2218.47 |
| Total Drug Medicare Standardized Payment Amount | 2218.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 218 |
| Number Of Medical Services | 7438 |
| Number Of Medicare Beneficiaries With Medical Services | 4493 |
| Total Medical Submitted Charge Amount | 2107669.11 |
| Total Medical Medicare Allowed Amount | 354914.01 |
| Total Medical Medicare Payment Amount | 277237.15 |
| Total Medical Medicare Standardized Payment Amount | 294595.79 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 793 |
| Number Of Beneficiaries Age 65 to 74 | 1587 |
| Number Of Beneficiaries Age 75 to 84 | 1349 |
| Number Of Beneficiaries Age Greater 84 | 764 |
| Number Of Female Beneficiaries | 2810 |
| Number Of Male Beneficiaries | 1683 |
| Number Of Non Hispanic White Beneficiaries | 4326 |
| Number Of Black or African American Beneficiaries | 106 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3298 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1195 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4225 |