| National Provider Identifier [NPI]: | 1679511828 |
| Last Name Of The Provider | COLEMAN |
| First Name Of The Provider | KIM |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| 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 | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 197 |
| Number Of Services | 9621 |
| Number Of Medicare Beneficiaries | 4847 |
| Total Submitted Charge Amount | 973418.48 |
| Total Medicare Allowed Amount | 243997.53 |
| Total Medicare Payment Amount | 196065.27 |
| Total Medicare Standardized Payment Amount | 211279.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1730 |
| Number Of Medicare Beneficiaries With Drug Services | 31 |
| Total Drug Submitted ChargeAmount | 1673.48 |
| Total Drug Medicare AllowedAmount | 735.07 |
| Total Drug Medicare PaymentAmount | 576.27 |
| Total Drug Medicare Standardized Payment Amount | 576.27 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 194 |
| Number Of Medical Services | 7891 |
| Number Of Medicare Beneficiaries With Medical Services | 4847 |
| Total Medical Submitted Charge Amount | 971745 |
| Total Medical Medicare Allowed Amount | 243262.46 |
| Total Medical Medicare Payment Amount | 195489 |
| Total Medical Medicare Standardized Payment Amount | 210703.11 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 574 |
| Number Of Beneficiaries Age 65 to 74 | 1873 |
| Number Of Beneficiaries Age 75 to 84 | 1490 |
| Number Of Beneficiaries Age Greater 84 | 910 |
| Number Of Female Beneficiaries | 3271 |
| Number Of Male Beneficiaries | 1576 |
| Number Of Non Hispanic White Beneficiaries | 4673 |
| Number Of Black or African American Beneficiaries | 36 |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | 52 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3974 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 873 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 50 |
| Percent Of With Hypertension | 69 |
| 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 | 1.3168 |