| National Provider Identifier [NPI]: | 1477591667 |
| Last Name Of The Provider | CURTIS |
| First Name Of The Provider | MARY |
| Middle Initial Of The Provider | A |
| 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 | 218 |
| Number Of Services | 12475 |
| Number Of Medicare Beneficiaries | 4851 |
| Total Submitted Charge Amount | 1269907.56 |
| Total Medicare Allowed Amount | 295466.77 |
| Total Medicare Payment Amount | 232262.52 |
| Total Medicare Standardized Payment Amount | 253105.3 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 5020 |
| Number Of Medicare Beneficiaries With Drug Services | 90 |
| Total Drug Submitted ChargeAmount | 5138.44 |
| Total Drug Medicare AllowedAmount | 2274.13 |
| Total Drug Medicare PaymentAmount | 1723.26 |
| Total Drug Medicare Standardized Payment Amount | 1723.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 212 |
| Number Of Medical Services | 7455 |
| Number Of Medicare Beneficiaries With Medical Services | 4851 |
| Total Medical Submitted Charge Amount | 1264769.12 |
| Total Medical Medicare Allowed Amount | 293192.64 |
| Total Medical Medicare Payment Amount | 230539.26 |
| Total Medical Medicare Standardized Payment Amount | 251382.04 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 620 |
| Number Of Beneficiaries Age 65 to 74 | 1875 |
| Number Of Beneficiaries Age 75 to 84 | 1517 |
| Number Of Beneficiaries Age Greater 84 | 839 |
| Number Of Female Beneficiaries | 3292 |
| Number Of Male Beneficiaries | 1559 |
| Number Of Non Hispanic White Beneficiaries | 4675 |
| Number Of Black or African American Beneficiaries | 40 |
| Number Of AsianPacific Islander Beneficiaries | 29 |
| Number Of Hispanic Beneficiaries | 49 |
| Number Of American Indian Alaska Native Beneficiaries | 17 |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3942 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 909 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2742 |